| 曾群娣 江朝能 陈勇瑞.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):9-11 |
| 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 |
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| 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: |
| 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月我院收治的老年急性脑梗死患者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：两组比较，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: |
| Objective: To investigate the relationship between anxiety, depression and cognitive impairment in elderly patients with acute cerebral infarction. Methods: From July 2014 to November 2015, 143 elderly patients with acute cerebral infarction in our hospital, according to anxiety and depression, were divided into group A (anxiety and depression) and group B (non-anxiety and depression). HAMA, HAMD, MMSE and NIHSS were compared and analysed. Results: The HAMA, HAMD scores of group A were (27.46±4.38), (26.05±3.86), the HAMA, HAMD scores of group B were (8.23±3.92), (7.46±3.71); the MMSE, NIHSS scores of group A were (17.69±3.21), (14.86±3.15), the MMSE, NIHSS scores of group B were (27.58±4.07), (9.07±2.38). there were statistically significant between the two groups (P<0.05). The MMSE score of Elderly patients with acute cerebral infarction was negatively correlated to HAMA, HAMD score (r =-0.592, -0.669, P<0.05), THE NIHSS score was positively correlated to HAMA, HAMD scores (r =0.741, 0.712, P< 0.05). Conclusions: The degree of anxiety and depression of elderly patients with acute cerebral infarction was significantly correlate to cognitive dysfunction, should strengthen psychological intervention to reduce anxiety and depression, and reduce negative emotions incidence. |
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