摘要
Abstract
Objective:To explore the influencing factors of apathy in patients with acute ischemic stroke.Methods:A total of 140 patients with ischemic stroke who were treated in our hospital between January 2017 and June 2017 were selected.The results were divided into the case group and the control group according to the results of the patient's indifference scale.There were 70 cases in the case group, all of which were indifferent after ischemic stroke and 70 in the control group.All of them had no emotional indifference after ischemic stroke.The data of the two groups were compared and the factors affecting the emotional indifference in the acute stage of ischemic stroke were analyzed.Results:The results of univariate analysis showed that whether patients with cerebral ischemic stroke had the apathy had significant differences between age, C serum C-reactive protein concentrations, serum homocysteine concentrations, uric acid, NIHSS score, MoCA score, HAMD score (t=4.294, 8.809, 8.917, 5.595, 11.723, 4.633, 13.423;P<0.001) , brain stem lesions, multifocal (χ2=5.833, 6.738;P<0.05) .Logistic multivariate regression analysis showed that age, C serum C-reactive protein concentrations, serum homocysteine concentrations, NIHSS score, HAMD score, the lesion in the brainstem, with multiple lesions (OR=1.259, 1.133, 1.154, 1.143, 1.280, 28.162, 38.628;P<0.05) were risk factors in patients with apathy after ischemic stroke, the concentration of uric acid (OR=0.813, P<0.001) , MoCA score (OR=0.796, P<0.01) were protective factors for the occurrence of apathy in patients after ischemic stroke.Conclusion:There are many factors influencing emotional apathy after ischemic stroke, including age, serum C-reactive protein concentration, serum homocysteine concentration, neurological deficits, depression, brain stem lesions, multiple lesions, uric acid concentration and cognitive function.关键词
缺血性脑卒中/情感淡漠/影响因素/情感障碍Key words
Ischemic stroke/Affective indifference/Influencing factors/Affective disorder分类
医药卫生
