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PLoS One:食欲紊乱和疲劳可能是卒中后抑郁早期表现

2016-10-30 MedSci MedSci原创

脑卒中后抑郁(PSD)是可能会导致不良预后的一种关键的并发症。然而,在脑卒中急性期PSD,也就是说在卒中后2周或3周,由于共发病而被忽视了。本研究旨在揭示在急性期PSD的突出症状,在发病后1周和1个月后颅内出血(ICH)或脑梗塞(BI)患者的填写抑郁问卷(快速自评抑郁症状:QIDS-SR)。排除意识障碍或失语的患者。49例脑出血患者及222例BI患者在1周,ICH患者在27天,BI患者在1个月时,

卒中后抑郁(PSD)是可能会导致不良预后的一种关键的并发症。然而,在脑卒中急性期PSD,也就是说在卒中后2周或3周,由于共发病而被忽视了。

本研究旨在揭示在急性期PSD的突出症状,在发病后1周和1个月后颅内出血(ICH)或脑梗塞(BI)患者的填写抑郁问卷(快速自评抑郁症状:QIDS-SR)。排除意识障碍或失语的患者。

49例脑出血患者及222例BI患者在1周,ICH患者在27天,BI患者在1个月时,完成QIDS-SR。ICH和BI患者PSD发生率分别为67%和46%。虽然睡眠障碍是抑郁最常见的症状,脑出血患者1周,精神运动性激越和食欲紊乱最明显的症状,1个月时疲劳是最明显的症状。另一方面,大多数BI患者在1周和1个月时表现出抑郁症状。

总之,而睡眠障碍是一个常见但非特异性症状,在卒中急性期食欲紊乱和疲劳可能是PSD关键障碍。

原始出处:

Nakase T, Tobisawa M, et al. Outstanding Symptoms of Poststroke Depression during the Acute Phase of Stroke. PLoS One. 2016 Oct 5


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    2016-11-01 tamgche
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