不同年龄段妇科肿瘤相关性抑郁差异分析

Investigation and Analysis on Gynecological Tumor-Related Depression at Different Age Groups

目的:分析不同年龄段妇科肿瘤相关性抑郁的发生情况及相关影响因素,并分析其中医证型的分布情况,为临床诊疗提供依据。方法:通过对2020年12月至2021年5月200例妇科肿瘤患者以问卷调查方式收集临床资料,采用SPSS 21.0分析不同年龄段妇科肿瘤相关性抑郁因素的差异。结果:不同年龄段妇科肿瘤相关性抑郁发生率不同,年龄≤45岁、46~59岁、≥60岁抑郁发生率分别为57.1%、43.5%、52.6%。不同年龄段妇科肿瘤相关性抑郁影响因素有所差异,年龄≤45岁妇科肿瘤相关性抑郁发病与收入、癌痛、文化程度、医疗费用、知情与否、既往治疗、中医证型有关(P<0.05);年龄46~59岁妇科肿瘤相关性抑郁发病与副作用、既往治疗、临床分期、收入、癌痛、文化程度、医疗费用、知情与否、中医证型有关(P<0.05);年龄≥60岁妇科肿瘤相关性抑郁发病与副作用、既往治疗、临床分期、收入、癌痛、医疗费用、知情与否、中医证型有关(P<0.05)。独立因素分析中,既往治疗、中医证型都是3个年龄段的影响因素,疼痛对年龄≤45岁及≥60岁的人群肿瘤相关性抑郁发生有影响,副作用和临床分期对年龄>45岁的患病人群意义更大,知情与否对年龄<60岁的人有影响,而文化程度是年龄≤45岁的患病人群的独立影响因素。各年龄段妇科肿瘤相关性抑郁中医证型分析中,以肝郁脾虚证与肝气郁结证最为常见。结论:不同年龄段妇科肿瘤患者相关性抑郁发生率不同、中医证型分布不同、影响因素侧重有差异,临床上针对重点人群给予关注,以减少抑郁的发生。

Objective:To analyze the happening situation and related factors of gynecological tumors depression and analyze the distribution of the TCM syndrome type,in order to provide basis for clinical diagnosis and treatment.Methods:The clinical data was collected in 200 cases of gynecologic tumor patients from December 2020 to May 2021 by questionnaire.SPSS 21.0 was applied to analyze the differences of gynecological tumor related depression factors in different ages.Results:The incidence of gynecological tumor-related depression is different in different age groups.The incidence of depression at the age of≤45,45-60 and≥60 are 57.1%,43.5% and 52.6%,respectively.The related factors of depression in gynecological tumors are different in different age groups.The incidence of gynecological tumor-related depression with age≤45 years is related to income,cancer pain,educational level,medical expenses,familiar with the situation,previous treatment and TCM syndrome type(P<0.05).The incidence of gynecological tumor-related depression among 45-60 years of age is related to side effects,previous treatment,clinical stage,income,cancer pain,educational level,medical expenses,familiar with the situation and TCM syndromes(P<0.05).The incidence of gynecological tumor-related depression with age≥60 years is related to side effects,previous treatment,clinical stage,income,cancer pain,medical costs,familiar with the situation and TCM syndromes(P<0.05).According to the independent factor analysis,previous treatment and TCM syndrome type were the influencing factors of the three age groups.Pain affects the incidence of depression in people aged≤45 and≥60 years.Adverse effects and clinical staging were more significant for patients older than 45.Familiar with the situation shows an effect on people younger than 60.The education level is an independent influencing factor for patients aged less than 45 years.Among the traditional Chinese medicine syndromes types of gynecological tumor-related depression at all ages,the liver stagnation and spleen deficiency syndrome and the liver Qi stagnation syndrome were the most common syndrome.Conclusion:The incidence of depression in gynecological tumor patients of different age groups,the distribution of TCM syndromes and the emphasis of influencing factors are different.It is necessary to focus on the key population to reduce the incidence of depression.