老年心血管疾病患者合并抑郁症状的初步研究
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Depressive symptoms in elderly patients with cardiovascular diseases
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    摘要:

    目的研究老年心血管疾病患者合并抑郁症状的相关危险因素。方法以老年抑郁量表随机调查参加正常体检的482例老年人为研究对象,其中有老年心血管者416例,无心血管疾病者66例,分别调查其抑郁症状发生情况,并探讨抑郁症状与冠心病、心律失常和高血压的关系。结果本组老年心血管疾病患者合并抑郁症状的比例明显高于无心血管疾病者,差异有统计学意义(P=0.01,OR=7.619,95%CI 1.826-31.785)。随着年龄的增长,老年心血管疾病患者合并抑郁症状的比例逐渐增高(P<0.01)。老年心血管疾病合并抑郁症状患者在冠心病与非冠心病亚组间差异有显著性(P<0.01),对是否合并心律失常、高血压和高血脂的危险因素进行比较,两组之间无统计学差异。结论老年心血管疾病患者合并抑郁症状比例显著高于同龄无心血管疾病对照人群,并随年龄增长逐渐增加。

    Abstract:

    Objective To investigate the risk factors of complication of depressive symptoms in elderly patients with cardiovascular diseases(CVD).Methods A total of 482 elderly individuals who received routine physical examinations were enrolled,among whom,416 with definite CVD and 66 without CVD.The depressive symptoms in all subjects were investigated with questionaire of the Geriatric Depression Scale.The relationship between depressive symptoms and coronary heart disease(CHD),arrhythmia,and hypertension were analyzed.Results The depressive symptoms were significantly more frequently in subjects with CVD than those without CVD(P=0.01,OR=7.619,95%CI 1.826-31.785).The elderly CVD patients had a higher depressive symptoms complication proportion with the age increasing(P<0.01).The elderly CVD patients had a higher frequency of depressive symptoms in those with CHD than without CHD(P<0.01).Conclusion The elderly CVD patients have a higher frequency of depressive symptoms than the age-matched controls,and the symptoms increase in an age-dependent manner.?更多

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冯杰,宋克群,杨君,郎森阳.老年心血管疾病患者合并抑郁症状的初步研究[J].中华老年多器官疾病杂志,2010,9(5):399~401

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