CAJ | 학술논문

目的：探索女性缺血性卒中患者抑郁分布特点及相关因素，提高神经科医师对女性卒中后抑郁（PSD）的认识。方法按照纳入和排除标准，筛选和确定研究对象84例，年龄58～88（72.67±11.55）岁。对患者进行汉密尔顿抑郁量表、简易精神状态量表、美国国立卫生院神经功能缺损评分等相关量表评定，采用SAS 9.0统计软件对数据进行统计分析。结果检出PSD患者44例（52.38%），以轻度抑郁为主。教育水平、职业及性格分型不同与PSD患病率大小差异均有统计学意义（均P＜0.05）。偏瘫患者较无偏瘫患者，PSD患病率高，差异有统计学意义（P＜0.05）。PSD组NIHSS评分明显高于非PSD组，差异有统计学意义（P＜0.05）。结论女性缺血性卒中患者以轻度抑郁为主，PSD患病率与教育水平、职业、性格分型、偏瘫、NIHSS评分等多个因素相关，应提高对PSD的认识，早诊断早治疗。
목적：탐색녀성결혈성졸중환자억욱분포특점급상관인소，제고신경과의사대녀성졸중후억욱（PSD）적인식。방법안조납입화배제표준，사선화학정연구대상84례，년령58～88（72.67±11.55）세。대환자진행한밀이돈억욱량표、간역정신상태량표、미국국립위생원신경공능결손평분등상관량표평정，채용SAS 9.0통계연건대수거진행통계분석。결과검출PSD환자44례（52.38%），이경도억욱위주。교육수평、직업급성격분형불동여PSD환병솔대소차이균유통계학의의（균P＜0.05）。편탄환자교무편탄환자，PSD환병솔고，차이유통계학의의（P＜0.05）。PSD조NIHSS평분명현고우비PSD조，차이유통계학의의（P＜0.05）。결론녀성결혈성졸중환자이경도억욱위주，PSD환병솔여교육수평、직업、성격분형、편탄、NIHSS평분등다개인소상관，응제고대PSD적인식，조진단조치료。
Objective To investigate the prevalence and risk factors of post- stroke depression(PSD) in elderly female patients. Methods Eighty four female patients with ischemic stroke were screened for PSD at 2 weeks after of stoke. Mini- Men-tal State Examination, Hamilton Depression Scale and U.S. National Institute of Health Deficit Score were used for evaluation and SAS 9.0 statistical package was used for statistical analysis. Results Forty four out of 84 patients were identified as depression with a prevalence rate of 52.4%, most of which were mild depression. Level of education, occupation and personality typing were related factors for the PSD. Low education levels, farmers, C- type character, hemiparesis and higher NIHSS score were risk fac-tors related to PSD(al P<0.05). Conclusion The prevalence of mild PSD in elderly female patients are high, and education level, occupation, personality type, hemiplegia and NIHSS scores are related to development of PSD.