支气管哮喘控制程度与抑郁相关性研究

Bronchial asthma control degree with depression correlation research

目的支气管哮喘（简称哮喘）是一种严重危害人类健康的心身疾病，而伴发的抑郁在哮喘的发生、发展和预后中发挥着重要作用。本研究诣在探讨哮喘控制程度与抑郁之间存在的相关性。方法对50例哮喘患者应用制定哮喘控制测试（ACQ）评分表及汉密尔顿抑郁量表（HAMD），作一致性测试。并进行SPSS13．O统计学软件进行数据分析。结果①70％的患者存在不同程度抑郁，而且哮喘越重抑郁的程度越重。②哮喘规范治疗3个月后，抑郁程度与哮喘的控制程度仍呈线性正相关。结论哮喘不但严重影响患者的生活质量，而且可以引起心理障碍，多表现为抑郁、焦虑和恐惧。规范治疗和管理哮喘能够降低抑郁的发病率而改善抑郁。同时在哮喘的发生、发展过程中生物、社会、心理三种因素互相依存、互相渗透、互相影响，构成一个复杂的网络系统，只有在更广阔的背景多方位、多层次地探讨哮喘的发生、发展，才有可能有效的控制哮喘。

Objective The bronchial asthma （asthma） is a serious harm to the health of the human, and depression play an important role in asthma development and prognosis This study discusses the correlation between asthma control degree and the depression. Methods We made a scale of ACQ and HAMD to test consistency in 50 cases for patients of asthma. And we did dada analysis in SPSS 13.0 statistics software. ResuLts （1）There exists different degree of depression about 70% of the patients and the heavier asthma with the heavier depression. （2）After asthma treatment standardized for three months, depression degree and asthma control degree is still a linear positive correlation. Conclusions The asthma not only influence the quality of life serious, and can cause psychological barriers, such as depression, anxiety and fear. That treatment and management asthma standardized can reduce the incidence of depression and improve depression. At the same time, biological, social and psychological depends on each other, mutual penetration, affecting each other in asthma development process. They are form a complex network system, we only study with asthma development in the more broad background allround, multi-level, it will be possible to control asthma effective.