[1]罗会义.脑梗死抑郁的发作因素及临床治疗研究[J].医学信息,2018,31(04):181-183.[doi:10.3969/j.issn.1006-1959.2018.04.069]
　LUO Hui-yi.A Study on the Attack Factors and Clinical Treatment of Depression in Cerebral Infarction[J].Journal of Medical Information,2018,31(04):181-183.[doi:10.3969/j.issn.1006-1959.2018.04.069]
点击复制

脑梗死抑郁的发作因素及临床治疗研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年04期
页码:
181-183
栏目:
出版日期:
2018-02-15

文章信息/Info

Title:
A Study on the Attack Factors and Clinical Treatment of Depression in Cerebral Infarction
文章编号:
1006-1959（2018）04-0181-03
作者:
罗会义
分宜县人民医院神经内科，江西 分宜 336600
Author(s):
LUO Hui-yi
Department of Neurology,Fenyi County People's Hospital,Fenyi 336600,Jiangxi,China
关键词:
脑梗死抑郁; 发作因素; 药物治疗; 心理治疗
Keywords:
Key words：Cerebral infarction depression; Attack factors; Drug therapy; Psychological treatment
分类号:
R749.1
DOI:
10.3969/j.issn.1006-1959.2018.04.069
文献标志码:
A
摘要:
目的 分析脑梗死抑郁发作的危险因素，探讨合理的临床治疗措施。方法 选取我院2016年3月~2017年7月收治的200例脑梗死患者作为研究对象，分析脑梗死抑郁发作的危险因素；对所有患者进行汉密尔顿抑郁量表（HAMD）评分，比较治疗前与治疗后患者HAMD分值差异，同时给予受试者药物治疗，评价其临床治疗效果。结果 脑梗死患者抑郁的发作与患者性别、脑部病变部位、婚姻状况以及有无吸烟史有明显关系，差异具有统计学意义（P＜0.05）；与治疗前相比，治疗后患者HAMD评分明显降低，差异有统计学意义（P＜0.05）。结论 脑梗死抑郁的发作因素是多方面的，合理的药物治疗配合适当的心理治疗对于改善脑梗死患者的抑郁情况具有积极作用，值得临床大力推广。
Abstract:
Abstract：Objective To analyze the risk factors of depressive episode in cerebral infarction and to explore the reasonable clinical treatment measures.Methods A total of 200 patients with cerebral infarction who were treated in our hospital from March 2016 to July 2017 were selected as study subjects to analyze the risk factors of depression in patients with cerebral infarction.The Hamilton Depression Rating Scale(HAMD)was scored on all patients.The differences of HAMD scores between pre-treatment and post-treatment HAMD scores were compared.At the same time,the subjects were given drug therapy to evaluate the clinical effect.Results The incidence of depression in patients with cerebral infarction was significantly related to the sex,location of brain lesion,marital status and smoking history,the difference was statistically significant(P<0.05),compared with before treatment,HAMD score decreased significantly after treatment,the difference was statistically significant(P<0.05).Conclusion The onset of depression in patients with cerebral infarction is multifaceted.Rational drug treatment and appropriate psychological treatment measures have a positive effect on the improvement of depression in patients with cerebral infarction,and are worthy of clinical promotion.

参考文献/References:

[1]孙惠淳.脑梗死抑郁的发作因素及临床治疗措施分析[J].中西医结合心脑血管病杂志,2012,10(2):249-250.
[2]郑锋,黄锦梅.急性脑梗死的抑郁情绪测查和相关因素临床研究[J].中国实用神经疾病杂志,2016,19(18):54-55.
[3]袁利和,和姬苓,惠丽红,等.急性脑梗死后抑郁治疗的临床研究[J].中国冶金工业医学杂志,2014,31(1):13-14.
[4]赵虹,黄华,薄涛,等.青中年脑梗死患者抑郁及认知障碍临床治疗分析[J].中国医学创新,2015,12(28):59-62.
[5]郑容,郭洛宁,王芬.急性脑梗死抑郁症发生相关因素与预防分析[J].中国继续医学教育,2016,8(15):92-93.
[6]李贵芹.脑梗死患者抑郁相关因素的分析及对应护理体会[J].中国卫生标准管理,2016,7(24):220-221.
[7]张玉军,齐增平,王玉强,等.银杏叶与刺五加注射液联合治疗脑梗死后抑郁症的临床研究[J].山西医药杂志,2012,41(4):396-397.
[8]屈苗苗.短暂性脑缺血发作进展为脑梗死相关因素及预防对策[J].临床医学研究与实践,2017,2(6):54-55.
[9]何育生,封亮,赵丽娟,等.首次脑梗死后抑郁障碍的临床研究[J].同济大学学报(医学版),2011,32(1):77-81.

更新日期/Last Update: 2018-02-15