摘要
目的观察抑郁症对老年高血压患者临床指标的影响,及常见合并症如脑梗死、糖尿病与抑郁症发生的相关性。方法选择老年科住院的年龄大于65岁的高血压患者,抑郁症和非抑郁症各36例,对两组的临床资料和生化指标进行统计学分析。结果抑郁症组患者的心脏舒张末期内径较大[(55.21±2.01)mm vs(53.20±2.82)mm,P=0.012],而高密度脂蛋白较低[(1.21±0.07)mmol/L vs(1.34±0.36)mmol/L,P=0.025],心输出量较低[(5.72±0.94)L/min vs(7.43±1.65)L/min,P=0.038];多元回归分析显示糖尿病和脑梗死与抑郁症发生明显相关,偏相关系数分别为10.33和3.98,P<0.01。结论患抑郁症的老年高血压患者心功能降低,且容易形成血栓;合并糖尿病和脑梗死是抑郁症的诱发因素。
Objective To explore the influence of clinical index on depression in elderly patients with hypertension, and the association between common complications and depression. Methods A total of 72 elderly patients with hypertension were divided into two groups, depression group and non - depression group, each with 36 patients. The clinical data and physiochemical index were analyzed. Results The end of diastole dimension was bigger, whereas the HDL - C and cardiac output were lower in depression group, analysis of multiple regression showed the obvious correlation between hypertension and diabetes and cerebral infarction, and the regressive coefficient were 10.33 and 3.98 ,P 〈0. 01. Conclusions The heart function was lower and it is easy to form thrombus in elderly of patients with hypertension. The rate of depression occurring was higher in patients with diabetes and cerebral infarction.
出处
《齐齐哈尔医学院学报》
2013年第3期386-387,共2页
Journal of Qiqihar Medical University
关键词
抑郁症
高血压
脑梗死
糖尿病
Depression
Hypertension
Cerebral infarction
Diabetes
