摘要
目的：探讨老年慢性充血性心力衰竭（ CHF）患者抑郁和焦虑的发生情况及其相关性。方法入选2014年1月至2015年12月期间西安市第九医院老年病二科收治的CHF患者180例作为病例组，另选年龄、性别与之相匹配的60例健康对象作为对照组。采用焦虑自评量表（ SAS）和抑郁自评量表（ SDS）对两组进行评价，同时采用多普勒彩色超声诊断仪检测两组对象的左室射血分数（ LVEF）。结果与对照组相比，病例组患者的SDS和SAS评分显著增加，而LVEF测定值则显著降低，差异均具有统计学意义（P＜0．05）。随着心功能级别的升高，患者的SDS和SAS评分以及发生焦虑和抑郁的情况均逐渐增加，而LVEF值则逐渐降低，差异均具有统计学意义（ P＜0．05）。结论老年CHF患者焦虑和抑郁的并发率较高，提示临床医师在此类患者的诊治过程中，应注意对其焦虑和抑郁情绪的干预。
Objective To investigate the incidences of depression and anxiety in the elderly patients with chronic congestive heart failure （ CHF） .Methods A total of 180 CHF patients admitted in our department from January 2014 to December 2015 were enrolled in this study .The other 60 sex-and age-matched healthy subjects served as control group .Self-rating depression scale （ SDS） and self-rating anxiety scale （SAS） were used to evaluate the anxiety and depression status in the 2 groups, and color Doppler ultrasonography was employed to measure the left ventricular ejection fraction （ LVEF） .Results The SDS and SAS scores were significantly higher , while the LVEF values were obviously lower in the CHF patients than in the controls （P〈0.05）.With the increase of the cardiac function grade , there were more and more patients with high SDS and SAS scores and high incidences of anxiety and depression , but gradually reduced LVEF values （P〈0.05）.Conclusion CHF elderly patients have high complications of anxiety and depression . Clinicians should pay attention to the intervention of anxiety and depression in the process of diagnosis and treatment of such patients .
出处
《中华老年多器官疾病杂志》
2016年第11期845-848,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
老年人
慢性充血性心力衰竭
抑郁
焦虑
相关性
aged
chronic congestive heart failure
depression
anxiety
correlation
