台州地区汉族支气管哮喘控制水平与抑郁相关性研究.docVIP

細地气管 脉构脯湘关ffii开究 2018-04-08 09:50:18中国现代医生2018年4期 何苏苏林玲姚桂飞 ［ 目的探讨台州地区部分汉族支气管哮喘(简称哮喘)患者的哮喘控制水平、肺功能与抑 郁情绪存在的相关性，分析哮喘患者抑郁发生的可能原因。方法选择我院呼吸科门诊及住院哮喘患 者126例为实验组，同吋选择100例同期在本院接受体检并诊断为健康的汉族成年人为对照组。采 用抑郁ri评量表(SDS)评测抑郁情绪，采用哮喘控制测试量表(ACT)评估哮喘控制水平。采用 ACT将126例哮喘患者分为未控制组(14例)、部分控制组(81例)、控制组(31例)，分析抑 郁情绪与哮喘控制水T关系。采用抑郁评量表(SDS)将哮喘患者分为单纯哮喘组(76例)及哮 喘合并抑郁组(50例)，行肺功能检测，评估两组间肺功能差异。结果哮喘患者的抑郁发生率 (39.68%)遠高丁‘对照健康人群(18.00%)，差异有统计学意义(P0.05)。未控制组的抑郁指数 髙于部分控制组及抟制组(P0.05)，ACT评分与抑郁指数存在显著负相关(r=-0.438, P=0.000)。 单纯哮喘组肺功能指标：FEV1、FVC、FEV1/FVC、PEF及ACT评分均较哮喘合并抑郁组明显降低， 差异均有统计学意义(P0.05) ,结论台州地区部分汉族哮喘患者抑郁发中率较高，抑郁与哮喘控 制水平密切相关，抑郁可降低哮喘患者的肺功能。 ［关键词］哮喘；抑郁；肺功能；相关性 ［ ］R971.4 ［ ］B ［文草编兮］1673-9701 (2018) 04-0094-04 ［Abstract］ Objective To investigate the correlation between the level of asthma control, pulmonary function and depression in the patients with bronchial asthma (asthma for short) in Han People in Taizhou area， and analyze the possible causes of depression in asthma patients. Methods 126 Han patients with asthma from the inpatient and outpatient of the department of respiratory medicine in our hospital were selected as the experimental group. At the same time, 100 cases who received physical examination and were diagnosed as healthy Han adults in our hospital during the same period were selected as the control group. Depressive mood was evaluated by self-rating depression scale (SDS) . Asthma control level was evaluated by asthma control test scale (ACT). 126 asthmatic patients were divided into uncontrolled group (14 cases), partial controlled group (81 cases) , and controlled group (31 cases) by evaluated by self-rating depression scale. The relationship between depression and asthma control was analyzed. The asthmatic patients were divided into simple asthma group(76 cases) and asthma complicated with depression group (50 cases) evaluated by asthma control test scale (ACT)， and lung function test was carried out. The differences in lung function were evaluated between the two groups. Results The incid