原发性高血压合并焦虑抑郁障碍现状调查

A survey on anxious and depressive disorders in essential hypertension patients

目的探讨原发性高血压合并焦虑抑郁障碍的流行病学状况，为临床干预提供依据。方法对2180例原发性高血压患者采用综合性医院焦虑抑郁量表、汉密顿焦虑量表、汉密顿抑郁量表及自拟一般资料调查表进行评定分析。结果原发性高血压患者心理障碍患病率49．45％，其中焦虑症患病率45．09％、抑郁症患病率6．33％、焦虑抑郁共患率1．97％；女性、中年、并发其他疾病、无业、病程长的原发性高血压患者罹患焦虑症率偏高，而老年、退休的原发性高血压患者罹患抑郁症率偏高。结论原发性高血压患者罹患焦虑抑郁障碍率较高，其中女性、中年、病程时间长是罹患焦虑症的危险因素，老年、退休是罹患抑郁症的危险因素。

Objective To investigate the epidemiological situation of essential hypertension （ EH ） with anxious and depressive disorders at LuoGang community. Methods Use the Hospital Anxiety and Depression Scale （ HADS ）, Hamilton Anxiety Scale （HAMA）, Hamilton Depression Scale （HAMD） and the Self-evaluated General Information Scale to analyze the epidemiological situation of 2180 EH patients from LuoGang community. Results The prevalence of mental disorder in the EH patients is 49.45%, of which anxiety disorder is 45.09%, depression is 6.33%, the co-morbidity rate is 1.97%. The EH patients who are female, middle-aged, concurrent other diseases, unemployed, a long course of patients suffering from high rate of anxiety disorders, and patients who are older and retired suffering from high rates of depression. Conclusion Essential hypertension patients suffering from a higher rate of anxiety and depressive disorder. Female, middle-age, long course of disease are the risk factors of anxiety, and the old-age and retired are the risk factors of depression.