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目的 探讨无症状性脑梗死 (ACI)情绪抑郁的特点及其相关因素。方法 用Zung氏抑郁自评量表 (SDS)测定 48例经CT和MR证实的ACI患者的情绪状态 ,并与对照组比较。根据梗死灶的部位、数量进行病例组中抑郁与非抑郁对照比较。结果 ①ACI抑郁发生率为35 4%。②ACI后抑郁的发生率与腔隙梗死灶的数量密切相关。③皮质下梗死 ,尤其是多灶性腔隙梗死 ,与其他部位梗死相比 ,更易出现抑郁。④ACI患者抑郁症的发生与年龄大小、高血压病程成正相关。结论 抑郁情绪为ACI患者较为常见的症状 ,其抑郁的产生可能与病灶部位的生物效应有关
Objective To investigate the characteristics and related factors of emotional depression in asymptomatic cerebral infarction (ACI). Methods Zung ’s depression self - rating scale (SDS) was used to determine the emotional status of 48 ACI patients confirmed by CT and MR and compared with the control group. According to the infarction site, the number of cases of depression and non-depression control comparison. Results ① The incidence of ACI depression was 35 4%. The incidence of depression after ACI is closely related to the number of lacunar infarcts. ③ subcortical infarction, especially multifocal lacunar infarction, infarction compared with other parts, more prone to depression. ④ The incidence of depression in ACI patients is positively related to the age and the duration of hypertension. Conclusions Depression is a common symptom in patients with ACI and its depression may be related to the biological effects of the lesion site