终末期肾病患者抑郁状态研究  

Study of depression in endstage renal disease

作　　者：陈杏浩 张敏[1] 李思奇[1] 王子昆[1] 陈雪[1] 张守琳[2] 

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属医院肾病科,长春130021

出　　处：《长春中医药大学学报》2015年第1期82-83,共2页Journal of Changchun University of Chinese Medicine

基　　金：吉林省中医药管理局资助项目(2010-041)

摘　　要：研究表明,终末期肾病抑郁的病因病机以神经生物及心理社会因素为主,使用抑郁量表识别抑郁高效、简便,终末期肾病抑郁的发病率为38.5%。经济、教育程度及并发症是终末期肾病抑郁发病的主要影响因素,年龄、并发症及躯体功能是终末期肾病抑郁患者的重要死亡风险因素。行为疗法在终末期肾病抑郁治疗方面占有重要作用。Depression as one of independent factors influences the life quality of the patients receiving maintenance hemodialysis and has high incidence rate. Severe depression could increase the risk of heart or head blood-vessel and sudden cardiac death,promote suicidal behavior. Studies indicate that neural biology and psychosocial factor are important on etiology and pathogenesis of depression in end-stage renal disease（ ESRD）,it is very effective and simple to use depression scale screening depressive symptoms,and prevalence of depression in ESRD is 38. 5%. Economic,educational level and complication factors associate with depression in ESRD. Age,complication,physical functions are related to mortality risk rates on depression of ESRD patients. Cognitive behavioral therapy takes an important role in the treatment of depression with ESRD.

关 键 词：终末期肾病 血液透析 抑郁状态 

分 类 号：R259[医药卫生—中西医结合]