老年慢性阻塞性肺疾病患者焦虑抑郁状态调查及分析  

Survey and Analysis of Depression and Anxiety in Elderly Patients with COPD

作　　者：刘茜[1] 周志益[1] 漆静[1] 甘丹[1] 

机构地区：[1]重庆市第三人民医院老年科,重庆400014

出　　处：《中国药房》2012年第38期3625-3627,共3页China Pharmacy

摘　　要：目的:了解老年慢性阻塞性肺疾病(COPD)患者焦虑、抑郁状态的发病情况。方法:收集2008年1月-2012年3月我院老年呼吸科147例老年COPD患者的临床资料,同时以我院体检中心(2011年1月-2012年3月)随机选取无严重疾病的147例健康老年人为对照组。以体重指数(BMI)、气流阻塞程度(O)、呼吸困难(D)、运动能力(E)(简称BODE指数)作为评估COPD严重程度的指标,采用焦虑自评量表(SAS)与抑郁自评量表(SDS)评估所有患者的主观焦虑、抑郁程度。结果:老年COPD患者的SAS、SDS分值较对照组健康老年人明显增高;随着BODE指数级别的升高,SAS及SDS分值随之升高;需无创辅助通气者的SAS、SDS分值较不需无创辅助通气者明显增高。结论:老年COPD患者容易伴发焦虑、抑郁,且焦虑、抑郁程度与COPD严重程度相关。OBJECTIVE： To investigate the reasons for anxiety and depression state in elderly patients with COPD. METH- ODS： The clinical data of 147 elderly patients with COPD were collected from gerontology department of our hospital during Jan. 2008--Mar. 2012, with 147 healthy elderly patients of medical examination center in our hospital during Jan. 2011--Mar. 2012 as control. BMI, airflow obstruction （O）, dyspnea （D） and exercise capacity （E） （called BODE index for short） were used as the in- dicators for assessing COPD severity. Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS） were used to evalu- ate subjective anxiety and depression of patients. RESULTS： The score of SAS and SDS increased significantly in elderly patients with COPD; with the increases of BODE index, SAS and SDS scores increased; SAS and SDS score of patients requiring non-in- vasive ventilatory support were higher than those of patients without non-invasive ventilatory support significantly. CONCLUSION： The elderly patients with COPD more easily suffer from anxiety and depression, and the degree of anxiety and depression positive- lv correlate with severity of COPD.

关 键 词：老年 慢性阻塞性肺疾病 焦虑 抑郁 

分 类 号：R952[医药卫生—药学]