慢性阻塞性肺疾病合并焦虑、抑郁的情况调查

Investigation of chronic obstructive pulmonary disease with anxiety and depression

(1)目的探讨慢性阻塞性肺疾病(COPD)患者焦虑、抑郁的发生率及患者特点。(2)方法选取COPD患者154例,运用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)评估患者的焦虑、抑郁情况,分为焦虑抑郁组和非焦虑抑郁组,整理患者住院病历中记载的基本信息(包含性别、年龄、体质量指数、文化程度、急性加重次数、COPD病程、心血管疾病),并进行肺功能分级、呼吸困难评分(mMRC评分),分析COPD患者发生焦虑、抑郁的情况及这些患者的特点。(3)结果 COPD患者焦虑、抑郁的发生率为40.3%(62/154),两组患者的性别、年龄、体质量指数、文化程度、急性加重次数、COPD病程、心血管疾病病史和肺功能检查、mMRC评分比较,差异具有统计学意义(P<0.05)。(4)结论 COPD患者发生焦虑、抑郁的比例较高,且该类患者有比较明显的人口学特征和临床特征。

Objective To study the prevalence of anxiety and depression in patients with Chronic Obstructive Pulmonary Disease(COPD)and analyze the characteristics of these patients.Methods A total of 154 patients with COPD were enrolled and measured with Hospital Anxiety and Depression Scale(HADS)and divided into two groups,anxiety and depression group,non anxiety and depression group.And then collected their general information(including gender,age,BMI,educational status,acute exacerbation,COPD duration,cardiovascular history),pulmonary function and mMRC.Analyzed the prevalence of anxiety and depression and the characteristics of these patients.Results The incidence of depression was 40.3%(62/154).There were statistical differences in gender,age,BMI,educational status,acute exacerbation,COPD duration,cardiovascular history,pulmonary function and mMRC between the two groups(P<0.05).Conclusion The proportion of anxiety and depression in patients with COPD is higher;And there are obvious demographic characteristics and clinical features in these patients.