心理状态对高原肺水肿患者病情的影响

Effects of mental state on patients with high altitude pulmonary edema

目的 :探讨心理因素对高原肺水肿治疗与转归的影响。 方法 :选择 16 5例高原肺水肿住院患者 ,采用医院焦虑抑郁情绪测定量表 (HAD)进行问卷调查 ,对其中 15 2例有效问卷资料进行统计学分析。结果 :15 2例患者中 ,出现焦虑者 6 1例 ,占40 .13% ;抑郁者 2 9例 ,占 19.0 8%。进藏前接受高原疾病预防教育、初次发病、患者性格、病情轻重及自付医疗费用对患者的心理影响较大 ;而年龄、性别、职业、文化程度等对患者焦虑、抑郁状况影响较小。心理异常的高原肺水肿患者其肺部音消失时间、治愈时间明显较心理正常患者延长。 结论 :焦虑、抑郁等情绪变化可加重高原肺水肿病情 ,影响其发生。

Objective: To investigate the effects of psychological factors on treatment and outcome of patients with high altitude pulmonary edema(HAPE). Methods: In the present study, one hundred and fifty two patients with HAPE were tested by hospital anxiety and depression scale. Results: The results showed that there were 61 patients (40.13%) with anxiety and 29 patients (19.08%) with depression. The important factors on mental state of patients were preventive education, the first time suffering HAPE, characters of patients, degree of the disease and the medical fee, the less were age, sex, occupation and education of patients. Duration of rales of lung and course of illness were significantly prolonged in HAPE patients with mental disorders compared to the patients without mental disorder. Conclusion: The study suggests that anxiety and depression might aggravate the state of HAPE. [