抑郁症和高血压病共病患者临床对照研究

Clinical Comparative Analysis on Depression and Hypertension in Patients

目的探讨抑郁症和高血压病共病患者的临床特征及高血压病对抑郁症的影响。方法使用自制的一般情况调查表,收集36例抑郁症和高血压病共病患者和36例同期住院的单纯抑郁症患者的社会人口学资料、病情特征、临床症状资料及治疗前、治疗后的HAM D量表总分进行统计分析。结果抑郁症和高血压病共病患者的平均发病次数(t=2.90,P<0.05)、平均病程(t=4.38,P<0.05)、平均住院日(t=5.60,P<0.05)及平均发病年龄(t=7.12,P<0.05)显著高于单纯抑郁症患者,抑郁症和高血压病共病患者的临床症状显著重于单纯抑郁症患者(t=4.98,P<0.05),抑郁症和高血压病共病患者的出院疗效显著差于单纯抑郁症患者(χ2=6.02,P<0.05)。结论抑郁症和高血压病共病患者的临床症状重、治疗疗效差,易复发。

Objective To explore the clinical features of depression and hypertension in patients.Methods With privately-general questionnaire,36 cases of depression and hypertension patients and 36 cases of simple depression inpatients in the same period with social demographic characteristics and disease information,clinical symptom information and total HAMD scale score before and after treatment were collected for statistical analysis.Results The average total number of incidence（t=2.90,P0.05）,the average duration（t=4.38,P0.05）,the average length of stay（t=5.60,P0.05） and the average age（t=7.12,P0.05） of the depression and hypertension patients were significantly higher than those of the patients with simple depression;the clinical symptoms of the patients with depression and hypertension were significantly severe than those of the patients with simple depression（t=4.98,P0.05）;the effects of the patients with depression and hypertension were singnificantly better than the patients with simple depression（χ~2=6.02,P0.05）.Conclusion The clinical symptoms of the patients with depression and hypertension were severe,the clinical effects were poor,the diseases easy to relapse.