本文關(guān)鍵詞： 焦慮 抑郁癥 腦梗死 動(dòng)脈粥樣硬化　出處：《中華老年心腦血管病雜志》2014年07期 　論文類型：期刊論文

【摘要】：目的探討慢性焦慮和抑郁與缺血性腦血管病(ICVD)的相關(guān)性。方法選取我院神經(jīng)科的住院患者220例,按照DMS-Ⅳ慢性焦慮抑郁診斷標(biāo)準(zhǔn),分為慢性焦慮組107例和無(wú)慢性焦慮組113例;慢性抑郁組98例和無(wú)慢性抑郁組122例。并依據(jù)CT、MRI及磁共振血管造影檢查,對(duì)患者進(jìn)行腦梗死、缺血性腦白質(zhì)病變及腦動(dòng)脈粥樣硬化影像學(xué)評(píng)分及分析。結(jié)果慢性焦慮組與無(wú)慢性焦慮組腦梗死、缺血性腦白質(zhì)病變和腦動(dòng)脈粥樣硬化影像學(xué)評(píng)分比較,差異有統(tǒng)計(jì)學(xué)意義[(0.83±0.94)分vs(1.48±1.19)分,(0.71±1.00)分vs(1.32±1.27)分,(1.27±1.02)分vs(1.80±1.12)分,P=0.000,P=0.025];慢性抑郁組與無(wú)慢性抑郁組上述3項(xiàng)比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。慢性焦慮評(píng)分與腦梗死、缺血性腦白質(zhì)病變和腦動(dòng)脈粥樣硬化影像評(píng)分均呈負(fù)相關(guān)(r=-0.335,-0.213,-0.246;P=0.000,0.001,0.023);慢性抑郁評(píng)分與上述3項(xiàng)評(píng)分無(wú)相關(guān)性(P0.05)。結(jié)論適度的慢性焦慮對(duì)人體ICVD的發(fā)生、發(fā)展可能有延緩或減輕的作用,但需更進(jìn)一步研究證實(shí)。
[Abstract]:Objective to investigate the relationship between chronic anxiety and depression and ischemic cerebrovascular disease (ICVD). Methods 220 inpatients in neurology department in our hospital were divided into chronic anxiety group (n = 107) and non-chronic anxiety group (n = 113) according to the diagnostic criteria of DMS- 鈪，

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