脑卒中后3-4年的神经心理并发症:对疲劳,抑郁和认知的基于人口的研究
J Aked1,2, Hossein Delavaran3,4, Fredrik Wennerström5
1Department of Clinical Sciences Lund Neurology, Lund University, Lund, Sweden joseph.aked@gmail.com.
BMJ open
|July 7, 2025
概括
脑卒中后疲劳 (PSF),抑郁 (PSD) 和认知障碍 (PSCI) 在中风后很长时间是常见的. PSF和PSD经常一起发生,影响生活质量和日常活动.
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:
- 在中风后,神经精神病的后果是常见的.
- 了解这些疾病的长期患病率和相互作用对于患者护理至关重要.
研究的目的:
- 为了确定中风后疲劳 (PSF),中风后抑郁症 (PSD) 和中风后认知障碍 (PSCI) 在首次中风后3-4年的患病率.
- 调查PSF,PSD和PSCI之间的相互关系.
主要方法:
- 瑞典基于人口的队列研究.
- 对202名首次缺血性中风或脑内出血的个人进行了随访.
- 评估PSF (疲劳评估量表),PSD (患者健康问卷-9),以及PSCI (蒙特利尔认知评估).
主要成果:
- 在3-4岁的患病率:PSF24%,PSD11%,PSCI54%.
- 59%的参与者至少有一种神经精神障碍.
- PSF和PSD高度相关 (95%的PSD患者患有PSF);PSF与更差的生活质量和日常生活依赖性有关.
结论:
- 在中风后很长时间,PSF,PSD和PSCI的流行率很高.
- PSF和PSD经常同时发生,并且与较差的结果有关.
- 增加临床意识和研究治疗这些神经精神病并发症是有必要的.
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