目的：了解精神科住院患者的抑郁倾向及其严重程度，为临床干预提供依据。方法采用Beck抑郁问卷-Ⅱ量表对383例住院精神病患者（排除抑郁症）进行抑郁状况调查分析。结果本组患者中轻度情绪紊乱23．8％，临床临界抑郁11．2％，中度抑郁16．7％，严重抑郁8．9％，极端抑郁3．4％。精神分裂症患者发生抑郁倾向者居多，导致抑郁倾向的主要原因排前4位依次为精神疾病、社会歧视、经济困难、家庭关系紧张。结论精神科住院患者抑郁倾向及严重抑郁发生率高，对患者适时进行抑郁情绪风险评估，尽早发现抑郁倾向，及时予以心理疏导及抗抑郁治疗，能有效预防或降低严重自伤和自杀行为的发生。

Objectives To explore depressive tendency and severity of psychiatric inpatient in order to provide basis for clinical intervention . Methods Assess-ments of depression status (excluding depression) were conducted with the Beck Depression Inventory (BDI) in 383 hospitalized mental patients .Results Of them mild affective disturb-ance made up 23 .8% ,clinical borderline depression 11 .2% ,moderate 26 .7% ,major 8 .9% and severe 3 .4% .Most of schizophrenics developed depressive tendency ,4 main factors inducing depressive tendency were in turn mental disorders ,social discrimination ,financial straits and family relation tension .Conclu-sion The incidences of depressive tendency and major depression are high in psychiatric inpatients ;risk e-valuation of depressive emotion at the right moment ,discovery of depressive tendency as early as possible and opportune psychological counseling and anti-depression treatment could effectively prevent or lower the development of severe self-harm an

目的观察急性脑卒中偏瘫患者抑郁的发生,分析影响急性脑卒中偏瘫患者发生抑郁的因素。方法选取2009-12—2012-12在我院住院治疗的急性脑卒中偏瘫患者194例为研究对象。统计194例患者抑郁的发生率,对抑郁和非抑郁患者进行神经功能缺损和日常生活能力评估,分析急性脑卒中偏瘫患者发生抑郁的影响因素。结果 SDS评分≥50分78例,SAS评分≥50分81例。单纯焦虑18例,单纯抑郁15例,焦虑伴抑郁63例。抑郁患者的日常生活能力评分和神经功能缺损评分与非抑郁患者相比差异具有统计学意义(P0.05)。根据抑郁发生率影响因素的单因素分析显示,病变部位、病程以及NDS可能与抑郁发生有关。Logistic回归分析显示,病变部位、病程及NDS与抑郁发生具有相关性。结论病变部位、病程及NDS会影响急性脑卒中偏瘫患者发生抑郁,应该采取恰当的预防措施降低抑郁的发生率。

Objective To observe and analyze the Incidence of Depression and Related Factors of Patients with Hemiplegia caused by Acute Stroke.Methods 194 patients with hemiplegia admitted to our hospital from December 2009 to December 2012 were selected as the object of study. The incidence of depression in the 194 cases of patients was analyzed ,evaluation of neural function defect and activities of daily living in patients with depression and non-depression were conducted ,and the influencing factors of depression were analyzed.Results Patients with SDS score ≥ 50 points took up 78 cases ,those with SAS score ≥50 points were 81 cases. Patients with mere anxiety were 18 cases ,and 15 cases with depression ,63 cases with anxiety and de-pression. Scores of activities of daily living and neurologic impairment scores of patients with depression were significantly dif-ferent from those of non depressive patients ,and the difference was statistically significant (P<0.05). The single facto

通过比较脑卒中患者出院时的治疗效果,评价脑卒中后抑郁对患者神经功能恢复的影响。方法:根据焦虑/抑郁情绪测定量表测定得分将脑卒中患者分成抑郁组50例及非抑郁组50例,比较两组患者的治疗效果并评价其神经功能恢复情况。结果:出院时疗效对比,神经功能缺损评分比较:抑郁组治愈10例(20%),非抑郁组17例(34%);抑郁组显效15例(30%),非抑郁组21例(42%);抑郁组未愈10例(20%),非抑郁组3例(6%)。两组总有效率分别为80%、94%,差异具有统计学意义(P0.05),结果显示抑郁组神经功能恢复程度显著差于非抑郁组。结论:脑卒中后发生抑郁将严重影响脑卒中患者神经功能的恢复进程。

Objective:To compare the treatment of stroke patients discharged from hospital,and evaluate the pa-tients’post-stroke depression influence on the recovery of nerve function. Methods:According to anxiety/depression scores scale,stroke patients were divided into depression group50 cases and non-depressed group 50 cases,the pa-tients of two groups were compared,and the therapeutic effect of recovery of neurological function was evaluated. Re-sults:When patients left the hospital.Scale of clinical neurologic impairment:10 (20%)cases were cured in depression group,17(34%)cases were cured in non-depressed group;15cases(30%)moreimproved in depression group,21(42%)cases moreimproved in non-depressed group;10cases (20%)healed in depression group,3 (6%)cases did not heal in non-de-pressed group;the total effective rate of two groups was respective 80%and 94%,there was a significant difference com-pared the two groups (P<0.05),the neurological recovery in depression group was morepoor

目的:通过对102例卒中后抑郁患者的临床调查,分析影响卒中后抑郁程度的相关因素及不同程度抑郁患者的治疗。方法:对102例卒中后抑郁患者进行年龄、性别、职业、家庭关系、卒中次数、合并症(包括高血压、糖尿病、冠心病等)调查,应用Logistic回归探讨与抑郁程度相关的因素,同时应用抑郁自评表和汉密尔顿抑郁表对102例患者的抑郁程度进行评估,其中轻度抑郁者58例,中重度抑郁者44例。将轻度抑郁者分为试验组和对照组,每组各29例;中重度抑郁者分为试验组和对照组两组,每组各22例。试验组患者采用心理治疗和氟西汀联合治疗,对照组患者采用单纯心理治疗。治疗后通过采用社会支持评定表、中风病患者生存质量评定表和汉密尔顿抑郁量表进行疗效评价。结果:年龄、家庭关系、卒中次数和合并症是影响卒中后抑郁程度的相关因素,年龄越大、卒中次数越多、存在合并症会增高卒中后抑郁发生几率,家庭关系和睦有利于降低卒中后抑郁的发生;单纯心理治疗轻度抑郁患者疗效较好,试验组与对照组间临床疗效无差异,相对于中重度抑郁患者,试验组的临床疗效明显好于对照组,差异具有统计学意义(P0.05)。结论:年龄、家庭关系、卒中次数和合并症是影响卒中后抑郁程度的相关因素,对于轻度抑郁患者,单纯心理治疗就可取得较好疗效,对于中重度抑郁患者,心理治疗联合氟西汀的临床疗效优于单纯心理治疗。

Objective: To analyze related factors affected the degree of depression after stroke and treatment of patients with varying degrees of depression by clinical investigation of 102 cases of depressions after stroke.Method: 102 cases of depressions after stroke of age, sex, occupation, family relationships, frequency of stroke,comorbidities (including hypertension, diabetes, coronary heart disease, etc.) were to investigated , related factors of the degree of depression were explored by the application of Logistic regression,while applications of depression self-assessment form and Hamilton Depression table for 102 patients with the degree of depression were evaluated,then 58 cases of mild depression, moderate to severe depression were 44 cases. The mild and moderate to severe depression who were divided into two groups,29 cases in each mild depression groups and 22 cases in each moderate to severe depression groups.The experimental group of patients with psychological therapy a

目的调查初产妇产后抑郁发生率,分析影响产后抑郁发生的相关因素。方法采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、爱丁堡产后抑郁量表(EPDS)和家庭亲密度与适应性量表(FACES)对350例初产妇进行前瞻性研究。结果产后抑郁51例,发生率为14.57%,年龄小、教育程度高、新生儿情况差、非纯母乳喂养、家庭收入较差的产妇更易发生产后抑郁(P0.05)。产后抑郁产妇产前SAS、SDS评分及家庭亲密度和适应性评分与正常产妇比较,差异均有统计学意义(P0.05)。教育程度、产前焦虑、产前抑郁、家庭适应性及新生儿评分是产后抑郁的主要影响因素(P0.05)。结论初产妇产后易发生抑郁,产前心理状态、家庭支持、教育程度及新生儿情况对产后抑郁发生影响显著,应加强针对性干预措施,减少产后抑郁的发生率。

Objective To investigate the incidence of early postpartum depression , postpartum depression occurs im-pact analysis related factors. Methods Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale(SDS), the Ed-inburgh Postnatal Depression Scale (EPDS) and family cohesion and adaptability scale(FACES) on 350 cases of prim-ipara prospective study. Results 51 cases of postpartum depression, the rate was 14.57%, Age of light, high level of education, poor neonatal cases, non-exclusive breastfeeding, household income, poor mothers were more likely to postpartum depression(P<0.05). Postpartum depression, maternal prenatal SAS, SDS scores and scores of family cohe-sion and adaptability normal pregnancy, the differences were statistically significant (P<0.05). Education, prenatal anxiety, prenatal depression, family adaptability and neonatal score were the main influencing factors of postpartum depression(P<0.05). Conclusion Initial prone to postpartum depression, prenatal psychological