Tu Jun, Wang Ling-Xiao, Wen Hong-Feng, Xu Yi-Cheng, Wang Pei-Fu
Department of Neurology, Aerospace Center Hospital, Beijing, China.
Medicine (Baltimore). 2018 Jun;97(23):e10919. doi: 10.1097/MD.0000000000010919.
The aim of this study was to investigate post-stroke depression (PSD) and cognitive impairments in patients with different types of cerebral infarction.A total of 110 patients with cerebral infarction treated in our hospital from January 2015 to February 2016 were included in present study. Forty-seven patients were PSD patients and 63 patients were non-PSD patients. The Hamilton Depression Rating Scale (HAMD) and Mini-Mental State Examination (MMSE) were employed to assess depression and cognition of patientsAmong PSD patients, the proportion of patients with partial anterior circulation infarction (PACI, 68.75%) was significantly higher than patients with lacunar circulation infarction (LACI, 29.17%) and posterior circulation infarction (POCI, 26.67%) (P < .05). No significant difference was found in PSD patients with LACI and POCI (P > .05). The MMSE score of patients with PACI (18.05 ± 2.61) was lower than patients with POCI and LACI (P < .05), however, no significant difference was found in patients with LACI and POCI (P > 0.05). The incidences of cognitive impairment in patients with PACI, LACI, and POCI were 12.50%, 14.58%, and 13.33%, respectively. The MMSE score of PSD patients (21.23 ± 2.12) was significantly lower than non-PSD patients (P < .05).Compared with LACI and POCI patients, PACI patients had a higher incidence of PSD and impaired cognitive functions. In addition, affective disorders such as depression may be correlated with cognitive impairment in patients with cerebral infarction.
本研究旨在调查不同类型脑梗死患者的卒中后抑郁(PSD)及认知障碍情况。本研究纳入了2015年1月至2016年2月在我院接受治疗的110例脑梗死患者。其中47例为PSD患者,63例为非PSD患者。采用汉密尔顿抑郁量表(HAMD)和简易精神状态检查表(MMSE)评估患者的抑郁及认知情况。在PSD患者中,部分前循环梗死(PACI,68.75%)患者的比例显著高于腔隙性梗死(LACI,29.17%)和后循环梗死(POCI,26.67%)患者(P<0.05)。LACI和POCI的PSD患者之间未发现显著差异(P>0.05)。PACI患者的MMSE评分(18.05±2.61)低于POCI和LACI患者(P<0.05),然而,LACI和POCI患者之间未发现显著差异(P>0.05)。PACI、LACI和POCI患者的认知障碍发生率分别为12.50%、14.58%和13.33%。PSD患者的MMSE评分(21.23±2.12)显著低于非PSD患者(P<0.05)。与LACI和POCI患者相比,PACI患者的PSD发生率更高,认知功能受损。此外,抑郁等情感障碍可能与脑梗死患者的认知障碍相关。