高血压患者脑卒中后并发抑郁症影响因素分析.docVIP

高血压患者脑卒中后并发抑郁症影响因素分析 　　【摘要】 目的：探讨高血压患者脑卒中后并发抑郁症的影响因素。方法：采用方便抽样法选取本院高血压合并脑卒中患者113例，问卷调查临床资料，采用单因素与多因素Logistic回归分析高血压患者脑卒中后并发抑郁症的影响因素。结果：高血压患者脑卒中后并发抑郁症（抑郁症组）43例，所占比例为38.05%，其中轻度抑郁症29例（25.66%），中度抑郁症10例（8.85%），重度抑郁症4例（3.54%）。单因素分析显示：女性、合并高血脂、冠心病、糖尿病、高血压病程15年、自费医疗、无配偶、人均月收入≤2000元、高中或以上文化程度的患者抑郁症发生率明显增高，比较差异均有统计学意义（P0.05）。经多因素Logistic回归分析显示，自费医疗、无配偶、人均月收入≤2000元是高血压患者脑卒中后并发抑郁症的独立危险因素（OR=10.698、4.215、7.245，P0.05）。结论：高血压患者脑卒中后并发抑郁症是性别、合并症、病程、医疗费用支付方式、婚姻状况、经济收入、文化程度等多种因素共同作用的结果。 　　【关键词】 高血压； 脑卒中； 抑郁症； 影响因素 　　【Abstract】 Objective：To study the influence factors of post-stroke depression for hypertensive patients.Method：A total of 113 cases of hypertension combined cerebral stroke were selected by convenient sampling method from our hospital，the clinical data were investigated by the questionnaire survey，the influence factors of post-stroke depression for hypertensive patients were analyzed by single factor and multi-factor Logistic regression analysis.Result：Post-stroke depression for hypertensive patients were 43 cases，accounted for 38.05%，mild depression were 29 cases（25.66%），moderate depression were 10 cases（8.85%），severe depressive were 4 cases（3.54%）.The single factor analysis showed，post-stroke depression rate of female，hyperlipidemia，coronary heart disease，diabetes，high blood pressure duration15 years，self-paying medical expense，no spouse，monthly income≤2000 yuan/month，education above high school level were significantly higher，the comparative differences were statistically significant（P0.05）.The Logistic regression multiple factors analysis showed，self-paying medical expense，no spouse，monthly income≤2000 yuan/month were the independent risk factors of post-stroke depression for hypertensive patients（OR=10.698，4.215，7.245，P0.05）.Conclusion：The post-stroke depression for hypertensive is the result of many influence factors of hypertension patients complicated with depression after stroke are sex，complications，progression，medical charge payment，marital status， income，