| 其他摘要 | Objective: post-stroke depression (post-stroke depression PSD) is one of the common complications of the stroke,it hinders the recovery of neural function in stroke patients, reducing the quality of life of patients,more and more doctor pay close attention to PSD, however, the relationship of PSD and location of cerebral lesion is not clear,at the same time,whether the lifestyle has a protective effect on PSD is still not clear.The results can be used to guide doctor to predict stroke patients whether to supervene PSD,and reduce the incidence of PSD. Methods: All patients were from the neurology department of the Coal General Hospital during August 2012 to March 2013,the patients of stroke were checked by CT or MRI, and were diagnosed one lesion location within three days,according to the Zung self-rating scale score,patients were divided into post-stroke depression group and non-post-stroke depression group,selected the total of 116 patients after two weeks.The survey general condition of patients,include gender,age,marital status,education level,personal income,combined with other diseases,stroke type,location of cerebral lesion and lifescale.SPSS17.0 statistical software was used to analyze the data. Results:The mobidity rate of PSD was 32.8%,of which,16 cases(13.8%) were mild depression,18 cases (15.5%) were moderate depression, four cases (3.5%) were severe depression.,PSD group and non-PSD group were showed no significant in age,education level and whether the spouse around. The investigation was founded that women were more likely to depression than men (χ2=4.465, P=0.035),at the same time,PSD was associated with personal income,the lower personal income,the more depression prone to.PSD was not associated with the type of stroke and accompany with hypertension, diabetes, hyperlipidemia, over two or more disease.Lesion location on the left side was prone to depression(χ2=14.208, P=0.014),further analysis showed that lesion location on the left was apt to depression than on the right, the basal ganglia part was more susceptible to depression than on other parts of the brain.Correlation analysis showed that PSD was significantly correlated with lifestyle of diet,sleep,social interaction,exercise,entertainment,health awareness and health, the higher of the score,the less prone to PSD,regression analysis found that the parts of the patient's gender,personal income,stroke lesion location,the lifestyle of social interaction, sleep and health may predict depression. Conclusion:1,Post-stroke depression group and non-depressed group were not significant in the side of age, spouse whether at his side and education level.2, Women were more likely prone to depression than men,and the lower personal income was more prone to depression.3,There were no significant effects between groups in the type of stroke, hypertension, diabetes, hyperlipidemia, over two or more diseases.4,There was significant in lesion location on the left side prone to depression,further analysis showed that there was no difference between the basal ganglia portion and the cortical portion,but the basal ganglia was easy depression than other parts of the brain.5,Regular diet,fine sleep,social interaction,active exercise,entertainment,health awareness and good health were not easily depression after his stroke,on the contrary,he was prone to depression.6,The various factors regression analysis was found that the patient's gender,personal income,the lesion location, the three part of lifestyle,include social interaction,sleep and health may predict whether depression. |
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