骨科住院病人疼痛情况和抑郁症状关系研究

Depression symptoms in Orthopedic patient with pain

目的：探讨骨科住院病人疼痛情况和抑郁症状的关系。方法：调查对象为2010年3月-2010年4月于山西医科大学第二临床医院的骨科住院患者107例，排除住院期间意识不清醒、有精神病（史）患者，采用抑郁自评量表（SDS）评定患者抑郁状况，痛标尺（VAS）法评定患者疼痛情况。结果：（1）SDS评分大于53分的疼痛评分高于SDS评分小于53分的骨科住院病人，两组间有统计学差异。（2）轻度疼痛抑郁症的发病率为6．89％，中度疼痛抑郁症的发病率为24．19％，重度疼痛抑郁症的发病率为37．5％，三组间相比较有统计学差异。结论：骨科住院病人疼痛程度与抑郁的发生率成正相关性，疼痛程度越高，抑郁症的发病率越高。

Objective：To investigate the correlation of pain with depression in Orthopaedic inpatients.Methods：Totally 107 Orthopaedic inpatients at the Shanxi medical university second clinical hospital from March 2010 to April 2010 were enrolled, rule out the possibility of consciousness during hospitalization and mental illness （history） patients, Used self-rating depression scale （SDS） assessed patients with depression, visual analogue pain scale （VAS） method for evaluation of patients with pain. Results： （1） The Orthopaedic inpatients VAS average score of SDS score more than 53 points higher than orthopedic patients less than 53 points, between the two groups P = 0.002 （P 〈0.05） were significantly different. （2）The depression incidence rate of orthopedic inpatients with mild pain was 6.89%, moderate pain was 24.19%,severe paih was 37.5%. Compared among the three groups, X2=6.516, P = 0.038 （P 〈0.05）, there are significant differences. Conclusion：Tbe degree of pain and the incidence of depression was positively correlated, the high. er the degree of pain, the higher the incidence of depression.