四川精神卫生2016，Vol.29Issue(2)：140-142,3.DOI:10.11886/j.issn.1007-3256.2016.02.010
脑卒中后吞咽障碍与抑郁的相关性分析
Correlation analysis of dysphagia and depression after stroke
彭勇军 1王相明1
作者信息
- 1. 攀枝花市中心医院，四川 攀枝花 617067
- 折叠
摘要
Abstract
Objective To investigate the correlation between dysphagia with depression after stroke,and to optimiae the management of patients with stroke. Methods A total of 397 hospitaliaed cases of acute stroke patients were included in the study. All patients were assessed by the Standardiaed Swallowing Assessment(SSA)and Hamilton Depression Scale - 24 item(HAMD - 24) before treatment and 14 days after getting sick,respectively. All patients were divided into dysphagia group and without dysphagia group according to the SSA score,and the detection rate of depression were compared between the two groups. Patients with swallowing disorder were divided into depression group(total score≥20)and no depression group(total score < 20)according to HAMD - 24 score,and they were assessed by Modified Rankin Scale(MRS)after 6 months of onset,prognosis of the two groups were observed.Results There were 196 cases with dysphagia and 201 cases without dysphagia among 397 patients with acute stroke,84 cases of depression(42. 86% )were detected in dysphagia group,and that was 29 cases(14. 43% )in group without dysphagia. There was statistical difference in detection rate between the two groups(P < 0. 05). Conclusion Compared with patients without dysphagia,the detection rate of depression is higher in patients with dysphagia after stroke. The prognosis of patients without depression is better than depressive patients among patients with dysphagia.关键词
脑卒中/吞咽障碍/抑郁/预后Key words
Stroke/Dysphagia/Depression/Prognosis分类
医药卫生引用本文复制引用
彭勇军,王相明..脑卒中后吞咽障碍与抑郁的相关性分析[J].四川精神卫生,2016,29(2):140-142,3.
