贵州省农村地区惊厥性癫痫患者焦虑、抑郁状态调查分析

Analysis of anxiety and depression in patients with convulsive epilepsy in rural area of Guizhou Province

目的：调查贵州省农村惊厥性癫痫患者的焦虑、抑郁状态，为农村癫痫患者的综合治疗提供依据。方法：采用ZUNG氏抑郁自评量表（SDS）及焦虑自评量表（SAs）对贵州省农村癫痫项目县开阳、惠水、风岗的癫痫患者进行调查分析，并以健康成人进行对照。结果：共计305例农村癫痫患者完成调查过程，均存在明显的抑郁症状，SDS抑郁评分（55±4．5）分，明显高于健康对照组（37±3．6）分，两组比较差异有统计学意义（P〈0．05），抑郁程度达到中重度抑郁（0．687）；癫痫患者的SAS评分虽没有达到焦虑的诊断标准，但也明显高于健康对照组。结论：贵州农村惊厥性癫痫患者存在明显的抑郁症状，焦虑评分也明显高于健康对照组，农村癫痫患者的精神状态应该受到高度重视。

Objective：To investigate the prevalence of depression and anxiety in adult patients with convulsive epilepsy in rural area of Guizhou Province, so as to provide evidence for synthetic therapy for epileptic patients. Methods： ZUNG Self-Rating Anxiety Scale（SAS）and Self-Rating Depression Scale （SDS） were used to evaluate the prevalence of depression and anxiety in 305 patients with epilepsy from Kaiyang, Huishui, Huaxi and Fenggang counties of Giuzhou Province. Normal subjects in the same area were used as controls. Results： In our study,a total of 305 patients with epilepsy underwent this investi- gation. Significant depression was observed in every patient with epilepsy as compared with the controls. SDS scores in epileptic patients（55±4.5 points）increased remarkably compared with the normal control （37±3.6 points）. Significant difference was noted. The degree of depression was moderately to severe （0, 687）. The epileptic group for the diagnosis of anxiety. have significant symptom of jects. High attention should displayed obvious symptom of anxiety although it didnot reached the criteria Conelusion：The epileptic patients from the rural area of Guizhou Province depression. The SAS point of epileptic patients is higher than normai sub- be paid to the the mental state of rural people with epilepsy.