脑卒中后抑郁(PSD)与脑卒中后2-7个月患者CT扫描和MRI表现及功能退化的关系

A. Atalu
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摘要

背景:脑卒中是一种以神经系统症状急性发作超过24小时为特征的综合征。PSD是患者中最常见的情绪障碍,其在女性中的患病率高于男性。本研究的目的是确定脑卒中后PSD、ct扫描和MRI结果与患者功能退化程度之间的关系。方法:对脑卒中患者进行描述性分析研究。根据贝克抑郁测试,他们都有抑郁症。必要的信息包括心血管危险因素、缺血类型、受累半球、受累动脉和冲突程度记录在检查表中,并通过修正兰金量表(MRS)的分数计算患者的功能退化。收集数据,采用SPSS 21版统计方法进行分析。结果:本研究共纳入100例患者,其中男性43例,女性57例,平均年龄63.97岁。在所有患者中,71%患有轻度抑郁症。在所有患者中,80%有缺血性病变,56%受累于右半球,39%受累于额叶,39%受累于大脑前部。结论:结果显示,女性抑郁症发生率高于男性。抑郁症的普遍程度为轻度,卒中形式为缺血性,主要累及脑右半球。
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Relation Between Post Stroke Depression (PSD) and CT- Scan and MRI Findings and Estimation of Functional Degradation in Patients 2-7 Months after Stroke
Background: Stroke is a syndrome characterized by acute onset of neurological symptoms for more than 24 hours. PSD is the most common mood disorder in patients that its prevalence in women was more than men. The aim of this study was to determine the relation between PSD and CT-scan and MRI findings and the degree of functional degradation in patients after the stroke. Methods: This descriptive-analytical study was performed on patients with stroke. All of them had depression based on Beck’s depression test. Necessary information including cardiovascular risk factors, type of ischemia, involved hemisphere, involved artery and extent of conflict were recorded in a checklist and the functional degradation in patients is calculated by scores of the Modified Rankin Scale (MRS). Collected data analyzed by statistical methods in SPSS version 21. Results: In this study, 100 patients (43 males and 57 females with an average age of 63.97 years) were studied. Of all patients, 71% had mild depression. Of all patients, 80% had ischemic lesions, 56% had involvement in right hemisphere, 39% in frontal and 39% in the cerebral- anterior. Conclusion: The results showed that depression in women is more than men. The prevalent degree of depression was mild, the form of stroke was ischemic type and the most area involved was right hemisphere of the brain.
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