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抑郁症和痴呆症是否是老年中风患者的常见问题?对选定的流行病学研究的综述。

Are Depression and Dementia a Common Problem for Stroke Older Adults? A Review of Chosen Epidemiological Studies.

机构信息

Department of Neurological and Neurosurgical Nursing, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Łukasiewicza street 1, 85-821 Bydgoszcz, Toruń, Poland.

Department of Neurology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland.

出版信息

Psychiatr Q. 2020 Sep;91(3):807-817. doi: 10.1007/s11126-020-09734-5.

DOI:10.1007/s11126-020-09734-5
PMID:32277403
Abstract

Stroke is the second leading cause of death in the world. It is often associated with various long-term physical and neuropsychological consequences. The aim of this article is to present the results of research on the occurrence of dementia and post-stroke depression. Using the keywords: post-stroke dementia, post-stroke depression, post-stroke cognitive impairment, stroke, Polish and foreign bibliographic databases were searched: PubMed, Science Direct, Wiley, Google Scholar. Documents that met the eligibility criteria were selected for inclusion in this review. After the conducted analyses, 7 Polish articles and 13 English-language articles were qualified for the review. In the group of people after stroke, there is an increased risk of depression and dementia. According to the data, up to every third person can deal with one of these neuropsychiatric disorders. The presented research analyses indicate that the results obtained by the respondents, at any time after the stroke, indicate the presence of mild cognitive impairment or slight degree dementia among the majority of respondents. It was also shown that people with a stroke in the dominant hemisphere are more likely to experience post-stroke depression. Depression and post-stroke dementia are a common and significant complication of stroke that negatively affects the functional outcome. The huge focus on neuropsychiatric disorders occurring after stroke in modern research is very important because of their negative impact on recovery, quality of life and survival after stroke.

摘要

中风是世界上第二大致死原因。它通常与各种长期的身体和神经心理学后果有关。本文的目的是介绍关于痴呆和中风后抑郁发生的研究结果。使用关键词:中风后痴呆、中风后抑郁、中风后认知障碍、中风、波兰和外国文献数据库:PubMed、Science Direct、Wiley、Google Scholar 进行搜索。选择符合入选标准的文献纳入本综述。经过分析,有 7 篇波兰语文章和 13 篇英语文章符合综述要求。在中风后的人群中,抑郁和痴呆的风险增加。根据数据,多达三分之一的人可能会出现其中一种神经精神障碍。所呈现的研究分析表明,受访者在中风后的任何时间,大多数受访者的认知功能都存在轻度认知障碍或轻度痴呆。研究还表明,在优势半球发生中风的人更容易发生中风后抑郁。抑郁和中风后痴呆是中风的常见且严重的并发症,对功能结局产生负面影响。在现代研究中,对中风后发生的神经精神障碍的高度关注非常重要,因为它们对中风后的恢复、生活质量和生存产生负面影响。

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