《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 695-697.

• 专题 • 上一篇    下一篇

北京万寿路地区老年人卒中后抑郁的调查研究

姚斌; 尹岭; 吴东宇; 陈彤; 陈雪丽   

  1. 解放军总医院神经信息中心 北京市 100853
  • 收稿日期:2005-05-25 出版日期:2005-09-25 发布日期:2005-09-25

Epidemiological study of post-stroke depression of the elderly in the Wanshou Road Community in Beijing

YAO Bin, YIN Ling, WU Dong-yu, et al   

  1. Neuroinf or matics Center, General Hospital of PLA,100853 Beijing, China
  • Received:2005-05-25 Published:2005-09-25 Online:2005-09-25

摘要: 目的研究社区老年人群卒中后抑郁的患病率,分析其相关因素。方法对北京万寿路地区老年居民进行整群随机抽样。以Zung量表(SDS量表)为筛查工具,汉密尔顿抑郁量表(HRSD-24)评定严重程度,按ICD-10确诊病例。调查抽样人群的卒中后抑郁的患病率。同时对基本信息和老年人常见疾病情况进行调查。分析老年人卒中后抑郁相关因素。结果卒中后抑郁患病率为9.5%。社区老年人卒中后抑郁发病率与其生活质量密切相关。结论卒中后抑郁影响着老年人的身体健康和疾病康复,脑卒中后抑郁的发病率和危害均较没有脑卒中时高。

关键词: 抑郁症, 脑卒中, 流行病学

Abstract: ObjectiveTo study the prevalence rate of post-stroke depression (PSD) of the elderly in the community and analyze risk factors of them. MethodsThe elders of the age of 60 or over were sampled as subjects from a community. Zung (SDS) was used as screening instruments and Hamilton rating scale for depression (HRSD-24) as evaluating scales. The prevalence rate of PSD was surveyed. A structured questionnaire was used and physical examination was carried out. Risk factors measured included baseline information, daily habits, and history of main diseases (hypertension, coronary heart disease, diabetes mellitus, myocardial infarction, and so on). The relationship between risk factors and PSD was analyzed.ResultsThe prevalence of PSD was 9.5%. The risk factors for PSD were life quality and age. ConclusionPost-stroke depression disturbs elder's health and rehabilitation. The prevalence rate and harm of PSD are higher than depression without stroke.

Key words: depression, cerebrovascular accident, epidemiology