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脑卒中后抑郁患者CT表现及其临床特征的相关研究
引用本文:苏亮,;施慎逊,;姜兴岳,;白亚辉.脑卒中后抑郁患者CT表现及其临床特征的相关研究[J].山东农业大学学报(社会科学版),2008(1).
作者姓名:苏亮  ;施慎逊  ;姜兴岳  ;白亚辉
作者单位:[1]复旦大学附属华山医院精神科; [2]复旦大学附属华山医院放射科; [3]复旦大学附属华山医院神经内科; [4]200040
摘    要:目的探讨脑卒中后抑郁患者的CT表现和临床特征及其相关因素。方法选择98例CT确诊脑梗死的患者,进行颅脑CT扫描确定脑部异常病变,根据抑郁自评量表(SDS)、汉密顿抑郁量表(HAMD)分值分为有无抑郁症状两组:卒中后抑郁组(PSD组,n=42)和对照组(n=56)。结果抑郁的发生率为42.8%。两组患者的年龄、性别构成、受教育程度、病程等差异无统计学意义(P>0.05)。两组患者颅脑CT比较,结果显示PSD组损害更易发生于左侧半球、皮质、额叶和小脑。PSD组内抑郁量表分值与左侧半球、双侧皮质损害容积成正相关(P<0.05)。结论脑卒中后抑郁发生率较高,CT表现和临床特征有一定特点,额叶、皮质的损害可能是PSD发生的生物学基础。

关 键 词:脑血管病  抑郁  X-线计算机体层摄影术

CT findings and clinical features of post-stoke depression
Institution:Su Liang; Shi Shenxun; Jiang Xinyue; Bai Yahui.Huashan Hospital; Fudan University; Shanghai 200040;
Abstract:Objective: To explore the CT findings and clinical feature and their relationship of post-stoke depression(PSD) patients.Methods: Ninety-eight patients with their first episode of stroke demonstrated by cerebral CT scan were tested of SDS and HAMD.According to their depression,all subjects were divided into two groups: PSD group(n=42) and control group(n=56).CT findings and clinical characteristics were compared between the two groups and the relationship between pathologic sites and occurrences of depressi...
Keywords:Cerebrovascular disorders Depression X-ray computed tomography
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