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目的探讨抑郁症和高血压病共病患者的临床特征及高血压病对抑郁症的影响。方法使用自制的一般情况调查表,收集36例抑郁症和高血压病共病患者和36例同期住院的单纯抑郁症患者的社会人口学资料、病情特征、临床症状资料及治疗前、治疗后的HAM D量表总分进行统计分析。结果抑郁症和高血压病共病患者的平均发病次数(t=2.90,P<0.05)、平均病程(t=4.38,P<0.05)、平均住院日(t=5.60,P<0.05)及平均发病年龄(t=7.12,P<0.05)显著高于单纯抑郁症患者,抑郁症和高血压病共病患者的临床症状显著重于单纯抑郁症患者(t=4.98,P<0.05),抑郁症和高血压病共病患者的出院疗效显著差于单纯抑郁症患者(χ2=6.02,P<0.05)。结论抑郁症和高血压病共病患者的临床症状重、治疗疗效差,易复发。
Objective To investigate the clinical features of depression and hypertension in patients with hypertension and the impact of hypertension on depression. Methods Using the self-made general questionnaire, we collected the socio-demographic data, disease characteristics, clinical symptoms and data of 36 co-morbid patients with depression and hypertension and 36 patients with simple depression who were hospitalized in the same period. HAM D total score for statistical analysis. Results The mean incidence of depression and hypertension comorbidity (t = 2.90, P <0.05), mean duration of illness (t = 4.38, P <0.05) The age of onset (t = 7.12, P <0.05) was significantly higher than that of patients with depression alone. The clinical symptoms of patients with depression and hypertension were significantly higher than those with depression (t = 4.98, P <0.05) Patients with hypertension and comorbidity were significantly less discharged than those with simple depression (χ2 = 6.02, P <0.05). Conclusions The clinical symptoms of patients with major depression and hypertension are severe, the curative effect is poor and relapse is easy.