| 曾群娣.老年急性脑梗死后患者焦虑抑郁与认知功能障碍的关系[J].实用中西医结合临床,2016,16(10): |
| 老年急性脑梗死后患者焦虑抑郁与认知功能障碍的关系 |
| Relationship between anxiety and depression and cognitive dysfunction in elderly patients with acute cerebral infarction |
| 投稿时间：2016-09-07 修订日期：2016-10-28 |
| DOI： |
| 中文关键词: 急性脑梗死 焦虑 抑郁 认知功能障碍 相关性 |
| 英文关键词: Acute cerebral infarction Anxiety Depression Cognitive dysfunction Correlation |
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| 中文摘要: |
| 【摘要】目的 探讨老年急性脑梗死后患者焦虑抑郁与认知功能障碍的关系。方法 选取2014年7月-2015年11月我院收治的急性脑梗死老年患者143例，依据焦虑、抑郁情况分为A组（焦虑抑郁患者）和B组（非焦虑抑郁患者），比较两组患者汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、简易精神状态评价量表(MMSE)、神经功能缺损评分(NIHSS)评分，并进行相关性分析。结果 A组患者的HAMA、HAMD评分分别为（27.46±4.38）分、（26.05±3.86）分；B组患者的HAMA、HAMD评分分别为（8.23±3.92）分、（7.46±3.71）分。A组患者的MMSE、NIHSS评分分别为（17.69±3.21）分、（14.86±3.15）分；B组患者的MMSE、NIHSS评分分别为（27.58±4.07）分、（9.07±2.38）分。以上差异均具有统计学意义（p＜0.05）。老年急性脑梗死后患者MMSE评分与HAMA、HAMD评分呈明显负相关关系（r=-0.592、-0.669，p＜0.05），NIHSS评分与HAMA、HAMD评分呈正相关关系（r=0.741、0.712，p＜0.05）。结论 老年急性脑梗死后患者焦虑抑郁程度与认知功能障碍呈明显相关性，医护人员应加强心理干预，降低焦虑抑郁等负性情绪发生率。 |
| 英文摘要: |
| [Abstract] Objective To investigate elderly patients with acute cerebral infarction patients with anxiety and depression and cognitive impairment relationship. Methods Selected July 2014 - November 2015 143 cases of elderly patients with acute cerebral infarction in our hospital, according to anxiety, depression were divided into group A (anxiety and depression) and group B (non-patient anxiety and depression), were compared Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Mini-Mental State Evaluation Scale (MMSE), neurological deficits (NIHSS) score, and correlation analysis. Results A group of patients with HAMA, HAMD scores were (27.46 ± 4.38) points, (26.05 ± 3.86) points; group B patients with HAMA, HAMD scores were (8.23 ± 3.92) points, (7.46 ± 3.71) points. A group of patients with MMSE, NIHSS scores were (17.69 ± 3.21) points, (14.86 ± 3.15) points; group B patients with MMSE, NIHSS scores were (27.58 ± 4.07) points, (9.07 ± 2.38) points. Both differences were statistically significant (p <0.05). Elderly patients with acute cerebral infarction after MMSE score and HAMA, HAMD score was negatively correlated (r = -0.592, -0.669, p <0.05), NIHSS score and HAMA, HAMD scores were positively correlated (r = 0.741,0.712, p <0.05). Conclusions Elderly patients with acute cerebral infarction after the degree of anxiety and depression and cognitive dysfunction was significantly correlated, health care workers should strengthen psychological intervention to reduce anxiety and depression and other negative emotions incidence. |
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