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[短暂性脑缺血发作或“轻度中风”长期随访中由身体和心理不适引起的主观残疾]

[Subjective disability caused by physical and psychological complaints in long-term follow-up after transient ischemic attacks or "minor stroke"].

作者信息

Schnider P, Auff E, Aull S, Lalouschek W, Uhl F, Zeiler K

出版信息

Rehabilitation (Stuttg). 1996 Aug;35(3):143-9.

PMID:8975343
Abstract

Fifty-nine patients with transient ischaemic attacks or minor strokes were re-evaluated after a mean observation period of 16 months. The aim of this study was to assess their somatic and/or psychic complaints semiquantitatively. Judging from the Beschwerdenliste and the Depressivitätsskala (von Zerssen) filled in by the patients, they exhibited hardly more complaints than healthy controls; their scores were considerably lower than those of patients suffering from other organic or psychiatric diseases. Patients who not only suffered from cerebrovascular disease but also from coronary heart disease showed significantly higher scores on both scales than patients with cerebrovascular disease without clinically manifest coronary heart disease. Patients under observation for more than 2 years exhibited considerably fewer psychic complaints than those under observation for shorter periods of time. The Beschwerdenliste and the Depressivitätsskala (von Zerssen) proved useful for assessing somatic and/or psychic complaints in patients after transient ischaemic attacks or minor strokes.

摘要

59例短暂性脑缺血发作或轻度中风患者在平均16个月的观察期后接受了重新评估。本研究的目的是对他们的躯体和/或精神主诉进行半定量评估。从患者填写的《症状清单》和(冯·泽尔森的)《抑郁量表》来看,他们的主诉并不比健康对照组多;他们的得分显著低于患有其他器质性或精神疾病的患者。不仅患有脑血管疾病还患有冠心病的患者在这两个量表上的得分均显著高于无临床明显冠心病的脑血管疾病患者。观察超过2年的患者的精神主诉明显少于观察时间较短的患者。《症状清单》和(冯·泽尔森的)《抑郁量表》被证明有助于评估短暂性脑缺血发作或轻度中风后患者的躯体和/或精神主诉。

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