关键词: 卒中; 焦虑; 发生率; 因素分析; 统计学

Abstract: Objective To survey the incidence of anxiety disorder within 14 days after stroke and to analysisits related factors.Methods One hundred and thirty inpatients which were selected from May 2009 to September2009 in the department of Neurology in Beijing Tiantan Hospital, were evaluated with the HamiltonAnxiety Scale (HAMA) and analyzed the factors such as age, gender, literacy and the type, sides orthe National Institutes of Health Stroke Scale (NIHSS) of stroke.Results All the 130 patients completed HAMA scale assessments within 14±2 days, the incidenceof anxiety disorder was 30% (N=39). Forty patients had possible anxiety disorders, 32 patientshad probable anxiety disorders, and 7 patients had apparent anxiety disorders probably. The scoreof spiritual anxiety was 5.00 (1.75~9.00), and physical anxiety was 3.00 (1.00~6.00). The patientswho beyond 45 years old had higher incidence of anxiety disorder (P <0.05), the olders had moreserious spiritual and physical anxiety than the youngers. The patients graduated from the university had higher incidence of anxiety than the others (university 50%vs senior school 28.6%vs juniorsdhool 27.1%vs primary sdhool 25%vs iliteracy33.3%). In the anxiety patients, the probableanxiety disorders patients were more common in the olders, but the female was more obvious. Thecorrelation between NIHSS score and the incidence of anxiety was positive (R2=0.034). There wereno significant differences between the cadence and the type or sides of stroke. Less than 1/3 patientswith anxiety disorders were given drug intervention which mainly used selective serotonin reuptakeinhibitors (SSRIs).Conclusion About 1/3 patients had anxiety disorders in the acute phase post stroke. The age andneurological impairments were the risk factors of anxiety disorders, and the age could influencethe extent of anxiety disorders. The education might influence the incidence of anxiety disordersin some extent. At present, the intervention or treatment to the anxiety disorders was not enough incomprehensive hospitals.

Key words: Stroke; Anxiety; HAMA; Incidence; Related factors