汉密顿抑郁量表作为高温对人体影响监护和诊断指标的探讨  

HAMD can be regarded as a monitoring and diagnostic index for health effect of work in hot environment

作　　者：杨跃林[1] 王仁仪[1] 柴主保[1] 胡冰霜[1] 宿萍[1] 薛梅[1] 殷秀琴[2] 

机构地区：[1]华西医科大学职业病防治院,610041 [2]成都铁路局中心卫生防疫站,610081

出　　处：《职业卫生与病伤》1998年第2期71-73,共3页Occupational Health and Damage

摘　　要：用汉密顿抑郁量表（HAMD）对某钢管厂接触高温的85名工人进行检查发现，高温可引起明显的抑郁症状，HAMD总平均分11．32±5．63高于对照组6．70±4．40（P＜0．001），以HAMD的17项总分来划分，观察组中可能有抑郁者占65．9％，可能有轻或中等度抑郁者占15．3％，严重抑郁者占1．2％，分别高于对照组的46．5％、2．8％和0．0％．有高度显著性差异（P＜O．005）。HAMD17个单项中．观察组的忧郁情绪、自杀、入睡困难、早醒、工作和兴趣、精神性焦虑、胃肠道症状、全身症状、疑病、体重减轻10个单项的得分高于对照组（P＜0．05），提示高温引起的抑郁症状可能主要是上述症状。HAMD可作为高温对人体影响的监护和诊断指标之一．A study of 85 workers worked in hot environment at the steal tuble plant was carried out by Hamilton Depression Scale (HAMD). The results showed that depressive symptoms were not uncommon. The total scores (11. 32±5. 36)of HAMD in the exposed group were higher than those of the control group(6. 70±4. 40) (P<0. 001 ). Based upon the total scores of 17 items of HAMD,the prevalence of possible,definite and severe depressive symptoms in the exposed group were 65. 9%, 15. 3%, 1. 2% V. S. 46. 5%, 2. 8%, 0. 0% in the control group respectively,there were significant differences (P<0. 005). Among 17 items of HAMD,the scores of 10 symptoms were significantly higher in the exposed group than those in the control (P<0. 05). The most common depressive symptoms in the exposed group were depressive morale, commit suicide, sleep disordors, working and interesting, psychical anxiety, symptoms of digestive system, all body symptoms, hypochondriasis, loss of body weight. HAMD can be regarded as a mornitoring and diagnostic index for health effect of work in hot invironment.

关 键 词：高温 汉密顿抑郁量表 抑郁症 神经衰弱 

分 类 号：R749.7[医药卫生—神经病学与精神病学]