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脑卒中后抑郁患者认知功能与P300的研究

李桂芬 李勤 保玉莲 丁奇 张硕 李雪然

昆明医科大学学报Issue(11):37-39,3.
昆明医科大学学报Issue(11):37-39,3.

脑卒中后抑郁患者认知功能与P300的研究

Research of Cognitive Function and P300 in Patients with Post Stroke Depression

李桂芬 1李勤 2保玉莲 1丁奇 1张硕 1李雪然1

作者信息

  • 1. 昆明医科大学第五附属医院神经内科,云南个旧 661000
  • 2. 红河州第一人民医院神经内科,云南蒙自 661100
  • 折叠

摘要

Abstract

Objective To investigate the influence of the post stroke depression (PSD) on cognitive function in patients with stroke and their correlation, and to evaluate the diagnosis value of P300 cognitive function in patients with PSD. Methods One hundred and seventeen cases of inpatient with acute stroke in neurology medicine were continuously observed and scored using HAMD rating scale at the onset of 2 weeks. And 53 cases of PSD and 64 cases of non-post-stroke depression (NPSD) were scored using MMSE score and P300 determination respectively,and the results were compared. Results The incidence of PSD was 45.29%(53/117) at the 2 weeks after stroke,including 35 cases (29.91%) of mild depression,11 cases (9.40%) of medium degree depression and 7 cases (5.98%) of major depression. Compared with NPSD group, the P300 latency period of PSD group was significantly prolonged ( < 0.01), and the amplitude significantly reduced ( < 0.01) . The MMSE score difference was statistically significant ( <0.05) in the two groups. Conclusion The PSD is given priority to with mild-to-moderate depression, and the cognitive function damage in patients with PSD is more obvious than that in NPSD group. P300 determination can be used as the evaluation indicator of diagnosis cognitive function in patients with PSD.

关键词

脑卒中后抑郁/认知功能/认知电位P300

Key words

Post stroke depression/Cognitive function/Cognitive potential- P300

分类

医药卫生

引用本文复制引用

李桂芬,李勤,保玉莲,丁奇,张硕,李雪然..脑卒中后抑郁患者认知功能与P300的研究[J].昆明医科大学学报,2013,(11):37-39,3.

基金项目

云南省教育厅科学研究基金资助项目 ()

昆明医科大学学报

OACSTPCD

1003-4706

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