首页|脑白质病变与老年抑郁症的临床分析

脑白质病变与老年抑郁症的临床分析

Clinical Analysis of White Matter Lesions and Late Life Depression

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目的:探讨脑白质病变与老年抑郁症的关系及临床表现。方法随机抽取120例WML患者,分为Ⅰ度、Ⅱ度、Ⅲ度,并选取30例非 WML的作为对照,均进行抑郁自评量表筛查,再进一步行汉密尔顿抑郁量表评分。结果Ⅰ度抑郁发生率为54.7%;Ⅱ度72.1%;Ⅲ度92.0%,WML的严重程度与老年抑郁的发生呈正相关,差异有统计学意义(χ2=6.51,P<0.05)。Ⅱ度、Ⅲ度患者的HAMD评分均高于Ⅰ度及对照组,在抑郁情绪、躯体性焦虑、精神性焦虑、睡眠障碍、全身症状、能力减退方面的评分显著有统计学差异(P<0.01)。结论 WML程度及部位和 LLD有一定相关性,其病变的程度与 HAMD评分及抑郁症的发生率呈正相关;伴程度不同的WML的LLD患者其临床表现不同。
Objective To analyze of the relationship and clinical manifestations between WML and LLD .Methods 120 WML patients and 30 healthy subjects were enrolled.All they were screened using a SDS and those who with depression were further evaluated via HAMD .Results Incidence rate were54.7%,72.1%,and92.0%for three groups.Differences among the groups were statistically significant.(P<0.01).Conclusion Severity of depression might be correlated to severity,location,distri-bution of WML.Varying degrees of WML in LLD clinical manifestations are different .

White matter lesionsLate life depression

郑垒炬、王金兰

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郑州大学第二附属医院,河南 郑州 450000

脑白质病变 老年抑郁症

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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