CAJ | 학술논문

目的：探讨脑血管意外后抑郁症状群与病灶 CT 定位及躯体、心理、社会变量的关系。方法选取2012年10月至2013年1月收治的536例急性脑血管意外患者作为研究对象，全面回顾性分析临床病例资料，分析脑血管意外后抑郁症状群与 CT 定位及躯体、心理、社会变量的相关性。结果脑血管意外后抑郁（PSD）程度随大脑左半球病灶靠近额极升高，其发生及严重程度与右半球内病灶 CT 定位无明显相关性。通过对病程、病变部位、手的运动功能、个性测定、家庭矛盾性、社会支持、性别、家庭亲密性、日常生活活动能力指数9个因素进行多因素非条件 Logistic 回归分析，得出脑血管意外后抑郁症状群与病灶 CT 定位及躯体、心理、社会变量有显著相关性。结论脑血管意外后不同时期在结合 CT 定位的同时应关注患者个性趋向，及时缓解家庭矛盾，提供更多的社会支持，实施针对性方案可预防脑血管意外后抑郁症状发生。
목적：탐토뇌혈관의외후억욱증상군여병조 CT 정위급구체、심리、사회변량적관계。방법선취2012년10월지2013년1월수치적536례급성뇌혈관의외환자작위연구대상，전면회고성분석림상병례자료，분석뇌혈관의외후억욱증상군여 CT 정위급구체、심리、사회변량적상관성。결과뇌혈관의외후억욱（PSD）정도수대뇌좌반구병조고근액겁승고，기발생급엄중정도여우반구내병조 CT 정위무명현상관성。통과대병정、병변부위、수적운동공능、개성측정、가정모순성、사회지지、성별、가정친밀성、일상생활활동능력지수9개인소진행다인소비조건 Logistic 회귀분석，득출뇌혈관의외후억욱증상군여병조 CT 정위급구체、심리、사회변량유현저상관성。결론뇌혈관의외후불동시기재결합 CT 정위적동시응관주환자개성추향，급시완해가정모순，제공경다적사회지지，실시침대성방안가예방뇌혈관의외후억욱증상발생。
Objective To explore the correlation of the post - stroke depression(PSD)and CT location,physical,psychological and social variables. Methods 536 acute cerebrovascular accident patients during October 2012 to January 2013 were included as the research object. Their clinical data were analyzed comprehensively and retrospectively. Results The closer the left hemisphere lesions to the frontal pole,the higher the degree of PSD,while brainˊs right hemisphere lesions on CT location and its relationship with the incidence of PSD was not obvious. Through the un-conditioned logistic regression analysis of 9 indicators,such as course of disease,the lesion area,hand movement function,determination of personal-ity,family conflicts,social support,sex,family cohesion,activities of daily living ability index,we find that PSD and CT location,physical,psy-chological and social variables have significant correlation. Conclusion CT location,physical,psychological and social variables are significantly associated with PSD,but if we implement corresponding solutions at different times of PSD,symptoms of PSD can be prevent in advance.