30例慢性肾衰患者情绪障碍的调查及原因的初步分析

A Study of Affective Disorders in 30 Chronic Renal Failure Patients

采用MMPI、HAMD和HAMA作为工具调查 3 0例慢性肾衰患者发现 ,其HAMD分和HAMA分明显高于正常对照组。MMPI测图为 2、6和 2、7模式者无论在接受保守治疗前还是在治疗后 ,其HAMD分、HAMA分与其血肌酐水平之间均有正相关关系。本研究的初步结果表明慢性肾衰患者普遍存在着抑郁和焦虑情绪 ,其原因可能和人格特征有关 ,也可能是严重躯体疾病的结果。研究结果提示 ,肾衰患者的抑郁和焦虑情绪可能会影响到患者的治疗以及生活质量 ,因此对情绪障碍的治疗应该成为慢性肾衰治疗的一个重要的组成部分。

By using MMPI,HAMD and HAMA to investigate 30 chronic renal failure patients before and during treatment,it was found that the patients'scores of HAMD,HAMA were significantly higher than normal control group.The patients'scores of HAMD and HAMA,whose MMPI model was 2,6 or 2,7,had a significant positive correlation with their blood level of inosine and this condition kept whether before and after receiving treatment.The results of this study implied that depression and anxiety might affected the treatment effect and the life quality of patients.Affective disorders in these chronic renal failure patients may be concerned with their special personality model and their physical disease.The results of this study show that to treat affective disorders is the important part of treatment for chronic renal failure.