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目的分析不同病变程度皮质下动脉硬化性脑病(SAE)患者ADL评分及社会功能评分情况。方法以我院2013年1月~2015年1月就诊的100例SAE患者为研究对象,根据不同病变程度将其分为轻型、中型及重型,分别通过ADL(日常生活活动量表)评分、SDSS(社会功能缺陷筛选量表)评分、SDS(抑郁自评量表)及SAS(焦虑自评量表)评分评定并比较不同病变程度患者日常生活活动能力、社会功能及心理情况。结果轻型SAE患者ADL评分(52.8±5.4)分,中型患者ADL评分(40.5±3.5)分,重型患者ADL评分(28.9±4.1)分,ADL评分与病情严重程度呈负相关(P<0.05);轻型患者SDSS评分(2.1±0.4)分,中型患者SDSS评分(4.6±0.5)分,重型患者SDSS评分(6.8±1.2)分,SDSS评分与病情严重程度呈正相关(P<0.05);另外SDS评分与疾病严重程度呈正相关(P<0.05),而不同分型SAE患者SAS评分均在50分以下。结论 SAE患者病情越严重,日常生活能力越低下,社会功能缺陷越严重,抑郁症状亦越明显。
Objective To analyze the ADL score and social function score of patients with different degree of subcutaneous arteriosclerotic encephalopathy (SAE). Methods A total of 100 patients with SAE treated in our hospital from January 2013 to January 2015 were divided into mild, moderate and severe according to the severity of the disease. The ADL (Daily Living Activity Scale) scores, SDSS (SDS), SDS (Self-rating Depression Scale) and SAS (Self-rating Anxiety Scale) scores were assessed and compared in patients with different pathological changes in daily living activities, social functions and psychological conditions. Results The ADL score (52.8 ± 5.4) in mild SAE patients, ADL score (40.5 ± 3.5) in moderate patients, and ADL score (28.9 ± 4.1) in severe patients were negatively correlated with the severity of SAE (P <0.05). SDSS score (4.6 ± 0.5), SDSS score (6.8 ± 1.2) and SDSS score of severe patients were positively correlated with severity of illness (P <0.05); SDS score And the severity of the disease was positively correlated (P <0.05), while SAE patients with different classification SAS scores were below 50 points. Conclusions The more serious the condition of SAE patients, the lower the daily living ability, the more severe the social function defects and the more obvious the depressive symptoms.