在出血性中风后与焦虑相关的因素
Anlys Olivera1, Sarah Ecker1, Aaron Lord1
1Departments of Neurology (all authors), Psychiatry (Olivera, Gurin), Neurosurgery (Lord, Melmed, Frontera, Lewis), and Rehabilitation Medicine (Gurin), NYU Langone Medical Center, New York.
The Journal of neuropsychiatry and clinical neurosciences
|September 5, 2023
概括
在出血性中风后,焦虑是常见的,在3个月后影响39%的患者. 出血类型是发展中风后焦虑症的重要危险因素.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 脑卒中后焦虑是影响患者康复和生活质量的普遍并发症.
- 鉴定出血性中风后焦虑的危险因素对于及时诊断和干预至关重要.
研究的目的:
- 为了确定非创伤性出血性中风 (脑内出血[ICH]和脑下出血[SAH]) 后焦虑的危险因素.
- 评估中风后焦虑与患者病史,疾病严重程度和住院并发症之间的关系.
主要方法:
- 一组患有非创伤性出血性中风的患者在中风后3个月和12个月被通过电话评估.
- 神经系统疾病中的生活质量焦虑简单形式用于评估焦虑.
- 分析了风险因素,包括临床前史,疾病严重程度 (格拉斯哥昏迷表,ICH体积/分数,国家卫生研究院中风量表) 和并发症.
主要成果:
- 39%的患者在3个月和31%的患者在12个月被诊断出焦虑症.
- 与SAH (20%) 相比,ICH患者 (50%) 观察到焦虑的发生率更高.
- 出血类型是中风后焦虑的重要独立预测因子 (几率比=3.77).
结论:
- 出血的特征,特别是出血的类型,与中风后焦虑症的发展有关.
- 入院时的神经学检查结果也与焦虑症的发展有关.
- 这些发现可以帮助早期识别和管理中风患者的焦虑.
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