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中文摘要: 目的 探讨癫痫抑郁的发生情况及相关因素，为预防并及时发现患者不良心理状况提供依据。方法 收集哈尔滨医科大学附属第二医院神经科的癫痫患者68例作为病例组，同时选取健康人群65例为对照组，应用抑郁自评量表（SDS）对病例组患者的抑郁状况进行评分，与对照组比较抑郁发生率，评价病例组抑郁相关的临床症状，并分析抑郁的相关因素。结果 病例组患者中抑郁的发生率为22.06%，其发生率和SDS评分均明显高于对照组，精神性-情感症状、躯体性障碍、精神运动型障碍及抑郁心理障碍方面得分亦明显高于对照组（P＜0.05）。有工作的癫痫患者SDS得分明显高于无工作的癫痫患者，夜晚发作者SDS得分明显高于白天发作者（P＜0.05）。结论 癫痫容易伴发抑郁，需及时了解患者的心理状况并实施干预，从而提高患者的生活质量。
Abstract:OBJECTIVE To investigate the incidence of depression and related factors in patients with epilepsy, in order to provide the evidence to detection of patients with unhealthy mental status. METHODS68 epileptic patients who soughtmedical advice from the neurosurgery department ofthe Second Affiliated Hospital in Harbin Medical University were recruited.65 healthy people comprised as control.Self-rating depression scale (SDS)was used to evaluate the incidence and clinical symptoms of depression. RESULTS The occurrence of depression in epileptic patientswashigher than the control group.The scores of mental-emotional symptoms, somatic disorder, depression psychological barrier and psychomotor disorderswere also higher than the control group (P< 0.05). with got The scores were higher in unemployed patients than in employed patients, in daytime seizure patients than in night seizure patientswith epilepsy.CONCLUSION The epilepsy is prone to be accompanied with depression.It is necessary to know patients’psychological needs, give interventions and finally improve the quality of life in patients with epilepsy.
keywords: epilepsy depression psychological evaluation
文章编号：3201804020 中图分类号：R749 文献标志码：
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