开角型与闭角型青光眼患者焦虑抑郁程度比较

Comparison of on anxiety and depression degree in patients with open-angle glaucoma and closed-angle glaucoma

目的比较分析开角型与闭角型青光眼患者的焦虑抑郁程度,为青光眼患者的临床治疗提供依据。方法选取开角型、闭角型青光眼患者及健康志愿者各40名,采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(selfrating depression scale,SDS)对所有对象进行问卷调查,比较三组对象的焦虑、抑郁程度。结果三组在性别、年龄、婚姻、文化程度,以及病程方面差别无统计学意义。开角型及闭角型青光眼患者SAS和SDS得分均高于健康志愿者,差异有统计学意义(P<0.0167)。其中,闭角型青光眼患者SAS和SDS得分较开角型青光眼患者高,但差异无统计学意义。开角型及闭角型青光眼患者中,女性患者SAS和SDS得分均稍高于男性,差异无统计学意义。结论青光眼患者较正常人焦虑、抑郁症状明显,但开角型与闭角型青光眼患者焦虑、抑郁程度无差异,且与性别无关联。

Objective To compare anxiety and depression degree of patients with open-angle glaucoma and closed-angle glauco- ma, and provide basis for clinical treatment of glaucoma patients. Methods 40 cases of open-angle glaucoma patients, 40 cases of closed-angle glaucoma patients, and 40 healthy volunteers were enrolled in this study. All the participants were asked to complete the fol- lowing questionnaires： self-rating anxiety scale （SAS）, self-rating depression scale （SDS）. And then anxiety and depression degree a- mong three groups were compared. Results There were no differences among three groups in gender, age, marriage, education degree and course of the disease. SAS and SDS scores of open-angle glaucoma patients and closed-angle glaucoma patients were higher than normal group, the differences were statistically significant （P 〈0.0167）. Closed-angle glaucoma patients had higher scores for both scales than open- angle glaucoma patients, but the differences were not statistically significant. No significant differences of SAS and SDS scores were found be- tween male and female patients with open-angle glaucoma and closed-angle glaucoma. Conclusions Glaucoma patients have palpable symp- tom of anxiety and depression than normal people, whereas the degree of anxiety and depression were found no significant differences between open-angle glaucoma and closed-angle glaucoma. And the degree of anxiety and depression showed no correlation with gender.