老年慢性阻塞性肺疾病与抑郁的研究  

Study on old age chronic obstructive pulmonary disease and depression

作　　者：温林俏[1] 赵国厚[1] 王蜀昆[1] 王瑞丽[1] 赵苍[2] 

机构地区：[1]昆明医科大学第二附属医院干疗二科,云南昆明650101 [2]昆明医科大学第二附属医院肺功能室

出　　处：《现代预防医学》2013年第5期891-893,共3页Modern Preventive Medicine

摘　　要：目的研究慢性阻塞性肺疾病(COPD)稳定期患者抑郁发生情况及其相关影响因素。方法选取COPD稳定期患者100例,对其进行一般资料问卷调查、老年抑郁量表(GDS)测评、社会支持评定量表测评、肺功能测定、血气分析。结果 (1)100例COPD患者分级Ⅰ级7例、Ⅱ级26例、Ⅲ级38例、Ⅳ级29例;GDS评分0～10分者57例,11～20分者28例,21～30分者15例,抑郁率43.00%。(2)将0～10分者设为无抑郁组(57例),11～30分者设为抑郁组(43例),两组在性别分布、婚姻状况、是否吸烟、是否发生过呼吸衰竭、不同COPD分级方面比较差异存在统计学意义(P﹤0.05)。(3)COPD患者无抑郁组与抑郁组在FVC、FEV1/FVC、PaO_2、PaCO_2、社会支持得分、客观支持得分、主观支持得分、支持利用度得分指标方面比较差异均存在统计学意义(P﹤0.05)。(4)Ⅰ级存在抑郁者0例(0.00%),Ⅱ级存在抑郁者8例(30.77%),Ⅲ级存在抑郁者18例(47.37%),Ⅳ级存在抑郁者17例(58.62%),COPD分级与抑郁分组之间Sperman极差相关分析,两者之间比较存在统计学意义(P﹤0.05)。结论老年慢性阻塞性肺疾病稳定期患者抑郁发病率较高,抑郁发病率与性别、婚姻状况、是否吸烟、是否发生过呼吸衰竭、不同COPD分级、肺功能、血气分析、社会支持程度间均有相关性。OBJECTIVE To study the chronic obstructive pulmonary disease （COPD） patients with stationary phase depression and related factors. METHODS Selected 100 patients with COPD in stationary phase. Collected the general information form questionnaire, evaluated them by geriatric depression scale （GDS）, social support rating scale assessment, pulmonary function test, blood gas analysis. RESULTS （ 1 ） Hierarchical level I of 7 cases in 100 patients with COPD, level Ⅱ 26 cases, 38 cases of level m , IV level 29 cases. 57 patients had 0-10 points GDS score, 11-20 points 28 cases, 21-30 points 15 cases, depression rate was 43.00%. （2） Divided patients with 0-10 points to non-depression group （57 cases）, 11-30 points to de- pression group （43 cases）, comparative differences in different gender, marital status, smoking, whether happened respiratory failure, different COPD classifications in two groups had statistical significance （P 〈 0.05）. （3） Differences in FVC, FEV1/ FVC, PaO2, PaC02, social support score, objective and subjective support scores, support exploitation degree score in non- depression group and depression group were significant （P 〈 0.05）. （4） In hierarchical level I COPD patients, 0 case （0.00%） had depression, there were 8 cases （30.77%） of depression in level Ⅱ COPD patients, 18 cases （47.37%） of level Ⅲ COPD had depression, 17 cases （58.62%） of level IV COPD patients had depression. Sperman correlation analysis showed the exist- ing statistical significance was between COPD classification and depression level （P 〈 0.05）. CONCLUSION Elderly patients with chronic obstructive pulmonary disease in stationary phase have higher incidence of depression. The depression incidence has a correlation with gender, marital status, smoking, whether happen respiratory failure, different COPD classification, pul- monary function, blood gas analysis, social support.

关 键 词：慢性阻塞性肺疾病 老年 抑郁 

分 类 号：R749.41[医药卫生—神经病学与精神病学]