›› 2010, Vol. 5 ›› Issue (10): 798-800.

• 论著 • 上一篇    下一篇

神经内科患者伴发抑郁状况与用药情况的横断面调查

王伊龙,张宁,张彤,王春雪

  

  1. 北京市首都医科大学附属北京天坛医院神经内科
  • 收稿日期:2010-04-18 修回日期:2010-03-18 出版日期:2010-10-20 发布日期:2010-10-20
  • 通讯作者: 王春雪

Cross-sectional Survey on Proportion and Treatment of Depression after Neurological Diseases in China

WANG Yi-Long, ZHANG Ning, ZHANG Tong, et al.   

  • Received:2010-04-18 Revised:2010-03-18 Online:2010-10-20 Published:2010-10-20
  • Contact: WANG Chun-Xue

摘要:

目的 调查综合医院神经内科患者伴发抑郁症状的发病及诊疗情况。方法 2010年4月28日至5月21日期间30家综合医院神经内科的1281名患者连续入选参与调研。采用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HAD)进行筛查。结果 神经内科患者中,44.0%(564/1281)为卒中患者,其既往使用抗抑郁药的比例为6.7%(38/564);非卒中患者中,既往使用抗抑郁药的比例为17.4%(125/717);入院后,卒中患者伴发抑郁的比例为50.0%(282/564),非卒中患者伴发抑郁的比例为47.7%(342/717);用药的构成比中,舍曲林用药率最高。结论 神经内科患者伴发抑郁的比例较高,尤其是卒中患者,但识别率和治疗率都很低,应该引起高度重视。

关键词: 抑郁; 数据收集; 抗抑郁药

Abstract: Objective To investigate the proportion and treatment situation in neurology patients withdepression symptoms in general hospital.Methods A total of 1281 patients from neurology department were consecutively enrolled. HospitalAnxiety and Depression (HAD) Scale was used to evaluate the symptoms.Results 44.0% of patients in neurology department were stroke patients, but only 6.7% of themand 17.4% of non-stroke patients were treated with antidepressants. However, 50.0% of strokepatients and 47.7% of non-stroke patients were diagnosed with depression. Sertraline was the mostfrequently used in treatment.Conclusion There were high incidence of neurology patients with depression symptoms, especiallypost-stroke depression (PSD), but little of them were diagnosed in the past, which should be takenseriously.

Key words: Depression; Data collection; Antidepressive agents