摘要

【摘要】
目的 分析影响脑动脉瘤介入栓塞术后抑郁的危险因素。

方法 选取我院2023年6月至2024年6月行脑动脉瘤介入栓塞术患者100例，根据汉密尔顿抑郁量表（Hamilton Depression Rating Scale, HAMD）评分分为抑郁组32例（HAMD≥8分）与非抑郁组68例（HAMD＜8分）。收集患者基线资料，通过ROC及多因素Logistic回归分析脑动脉瘤介入栓塞术后抑郁的影响因素。

结果 抑郁组女性、家庭月收入＜5000元占比高于非抑郁组，疼痛视觉模拟量表（visual analogue scale，VAS）评分高于非抑郁组，社会支持评定量表（Social support rating scale，SSRS）评分低于非抑郁组（P＜0.05）；经多因素Logistic回归分析证实，性别、家庭月收入、VAS评分＞4.264分、SSRS评分＜38.647分是影响脑动脉瘤介入栓塞术后抑郁的独立危险因素（P＜0.05）；经过ROC分析证实，VAS评分、SSRS评分可用于预测脑动脉瘤介入栓塞术后抑郁的发生，AUC分别为0.912、0.758（P＜0.05）

结论 性别、家庭月收入、VAS评分、SSRS评分是影响脑动脉瘤介入栓塞术后抑郁的独立危险因素，可为临床提供参考。

关键词：【关键词】脑动脉瘤介入栓塞术；抑郁；家庭月收入；疼痛视觉模拟量表

ABSTRACT

【Abstract】
Objective To analyze the risk factors influencing depression after interventional embolization for cerebral aneurysms.

Methods A total of 100 patients undergoing interventional embolization for cerebral aneurysms at our hospital from June 2023 to June 2024 were selected and divided into a depression group (32 cases, HAMD score ≥8) and a non-depression group (68 cases, HAMD score <8) based on the Hamilton Depression Rating Scale (HAMD). Baseline data were collected, and ROC curve analysis and multivariate logistic regression were employed to identify factors influencing postoperative depression.

Results The depression group had a higher proportion of females, a higher rate of monthly household income <5,000 yuan, higher Visual Analogue Scale (VAS) scores, and lower Social Support Rating Scale (SSRS) scores compared to the non-depression group (P<0.05). Multivariate logistic regression analysis confirmed that female sex, monthly household income <5,000 yuan, VAS score >4.264, and SSRS score <38.647 were independent risk factors for postoperative depression (P<0.05). ROC analysis demonstrated that VAS and SSRS scores effectively predicted postoperative depression, with AUC values of 0.912 and 0.758, respectively (P<0.05).

Conclusion   Sex, monthly household income, VAS score, and SSRS score are independent risk factors for depression after interventional embolization for cerebral aneurysms, providing clinical reference value.

Key words: 【Key words】Interventional embolization for cerebral aneurysms; Depression; Monthly household income; Visual Analogue Scale