脑卒中后急性期抑郁及焦虑发生率及相关因素调查.doc

脑卒中后急性期抑郁及焦虑发生率及相关因素调查 【摘要】目的 探讨脑卒中后急性期抑郁及焦虑发生率及相关因素。方法 对197例脑卒中急性期患者进行一般资料、美国国立医院脑卒中量表（NIHSS）、Barthel指数、汉密尔顿抑郁量表（HAMD）21项版本与汉密尔顿焦虑量表（HAMA）14项版本调查，分析结果。结果 197例患者中抑郁患者共21例，占10.66%，焦虑患者38例，占19.29%；单因素分析结果显示脑卒中急性期患者并发抑郁的原因与患者婚姻状态、年龄、合并其他疾病病种数有关（P0.05），并发焦虑的原因与患者婚姻状态、年龄、合并其他疾病病种数、脑卒中部位有关（P0.05）；PSAD与非PSAD、PSDD患者与非PSDD患者NIHSS评分差异无统计学意义（P0.05），BI评分PSAD、PSDD患者明显高与非PSAD、非PSDD患者，比较差异具有统计学意义（P0.05）；多因素Logistic回归分，结果显示患者同时合并有2种以上其他疾病、BI指数是引起患者并发情感障碍的独立危险因素（P0.05）。结论 脑卒中后急性期患者抑郁及焦虑发病率较高，患者入院时的BI评分、合并有多种其他疾病是引起患者发生抑郁及焦虑的独立危险因素。 【关键词】脑卒中；焦虑；抑郁；危险因素；发病率 After the acute phase of stroke onset incidence of depression and anxiety and related factors [Abstract] Objective To investigate the acute phase after stroke incidence of depression and anxiety and related factors. Methods 197 cases of acute stroke patients with general information, the U.S. National Hospital Stroke Scale (NIHSS), Barthel Index, Hamilton Depression Scale (HAMD) 21 Item Version and Hamilton Anxiety Scale (HAMA) 14 Item Version investigation, analysis. Results 197 cases of patients with depression were 21 cases, accounting for 10.66%, anxiety 38 patients, accounting for 19.29%; Univariate analysis showed that patients with acute stroke patients with depression causes and marital status, age, comorbid disease related to the number (P0.05), and patients with concurrent anxiety causes marital status, age, number of comorbid disease, stroke relevant parts (P0.05); PSAD and non PSAD, PSDD patients with NIHSS scores between patients with non-PSDD not statistically significant (P0.05), BI score PSAD, PSDD was significantly higher in patients with non-PSAD, non PSDD patients, a statistically significant difference (P0.05); Multivariate Logistic regression showed that patients with concomitant two or more of other diseases, BI index patients with affective disorder is caused by the independent risk factors (P0.05). Conclusion patients with acute stroke have a higher prevalence of depression and anxiety, the patient a