农村社区冠心病并发抑郁发生率和相关因素的研究  

THE STUDY OF MORBIDITY OF CORONARY ARTERY DISEASE COMPLICATED WITH DEPRESSION AND ITS CORRELATED FACTORS IN A RURAL COMMUNITY

作　　者：周成刚[1] 任寰[1] 曾火焱[1] 陈照玲[1] 

机构地区：[1]广东中山市人民医院三角分院内科,中山528445

出　　处：《现代预防医学》2006年第6期877-879,共3页Modern Preventive Medicine

基　　金：中山市医学科研基金资助(2002.43)

摘　　要：目的：研究新兴工业化农村社区冠心病并发抑郁的发生率和相关因素。方法：对114例在我院就医、属三角镇户籍常住人口的冠心病（CHD）患者进行Zung量表（SDS量表）检测，同时调查其经济状况、健康习惯、社会活动能力等。用Spss 13．0版统计软件进行统计分析。结果：抑郁发生率37．7％，女性44．3％（27／61）高于男性30．2％（16／53）。其中≥70岁者为47．6％（30／63），高于〈70岁者的25．5％（13／51），NYHA心功能与Zung得分、抑郁的发生、社会活动能力和生产劳动能力皆负相关。心功能3～4级比1～2级发生抑郁的比例高约5．7倍。低收入、几乎不参加社会活动、几乎不锻炼身体以及少量饮酒是冠心病并发抑郁症的独立预测因素。结论：新兴工业化农村社区冠心病并发抑郁的发生率和相关因素与其它地区不同。Objective： To study the morbidity of coronary artery disease （CHD） complicated with depression in a new industrialized rural community and its correlated factors. Methods： The psychological status of 114 native CHD patients who were dwelled in Senjiao town and treated in our hospital were investigated with the Zung Self- rating Depression Scale （SDS）. And the following aspects weer also investigated, inoluding their health habit, sleep quality, the status of income, joining in social activity and labour, the quantity of complications, BMI and NYHA heart function class etc. Statistic analysis was processed with SPSS 13.0 software. Results： The prevalence of depression was 37.7%, it had a correlation with poor NYHA class. It was significantly more common among female CHD patients and the age ≥70 patients than that in male （P〈0.01） and the age 〈 70 pstients （P=0.017）. Theinde- pendent predictors of depression were lack of exercise, lack of social activity,pwoerty and less drinking.Conclusion：The morbidity and correlated factors of CHD complicated with depression in a new industrialized rural community are different from that other places.

关 键 词：冠心病 抑郁 发病率 相关因素 研究 

分 类 号：R543.3[医药卫生—心血管疾病]