慢性鼻-鼻窦炎患者抑郁障碍的相关因素调查

Investigation of Related Factors of Depression in Patients with Chronic Rhinosinusitis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(5)
作者
作者单位

河南省开封市中心医院耳鼻咽喉科 ;

摘要
摘要 目的:探讨慢性鼻-鼻窦炎患者抑郁障碍的相关因素。方法:选择2018年4月-2020年4月95例慢性鼻-鼻窦炎患者为研究对象,采用抑郁自评量表(SDS)评价患者抑郁障碍现状,评估慢性鼻-鼻窦炎鼻塞、流涕、嗅觉减退等临床症状,调查病程、匹兹堡睡眠指数量表(PSQI)等病历资料,进行抑郁与非抑郁患者的组间比较,采用多元线性回归性分析调查抑郁障碍的相关因素。结果:95例慢性鼻-鼻窦炎患者SDS评分为(42.82±8.93)分,其中>53分20例;抑郁组与非抑郁组患者鼻塞、流涕、Sniffin′ Sticks嗅觉测试评分(TDI)、Lund-Mackay内镜评分(L-M)以及病程、PSQI指数差异具有统计学意义(P<0.05),年龄、面部疼痛、头昏评分差异无统计学意义(P>0.05);多元线性回归分析显示,鼻塞、流涕、TDI评分、L-M评分、病程、PSQI指数是鼻-鼻窦炎患者抑郁障碍的相关因素。结论:慢性鼻-鼻窦炎患者中部分患者受到抑郁障碍的困扰,鼻塞、流涕等临床症状、病程、睡眠障碍等·与抑郁障碍具有显著相关性。
Abstract
[Abstract] Objective To explore the related factors of depression in patients with chronic rhinosinusitis. Methods Ninety-five patients with chronic rhinosinusitis from April 2018 to April 2020 were selected as the research objects. The self-rating depression scale (SDS) was used to evaluate the status of depressive disorder, the clinical symptoms of chronic rhinosinusitis, such as nasal congestion, runny nose, hypoosmia, and so on. The course of disease, Pittsburgh sleep index scale (PSQI) and other medical records were investigated. The depression and non-depression patients were compared between groups. Regression analysis was used to investigate the related factors of depressive disorder. Results The SDS score of 95 patients with chronic rhinosinusitis was (42.82 ± 8.93), of which 20 patients had more than 53 points. There were significant differences in nasal congestion, runny nose, sniffins sticks olfactory test score (TDI), Lund Mackay endoscopy score (L-M), course of disease and PSQI index between depression group and non-depression group (P<0.05). There was no significant difference in age, facial pain and dizziness scores (P>0.05). Multiple linear regression analysis showed that nasal congestion, runny nose, TDI score, L-M score, course of disease, PSQI index were related factors of depression in patients with rhinosinusitis. Conclusion Some of the patients with chronic rhinosinusitis are troubled by depressive disorder. The clinical symptoms such as nasal congestion and runny nose, course of disease and sleep disorders are significantly correlated with depressive disorder.
关键词
关键词:慢性鼻-鼻窦炎;抑郁障碍; 鼻塞;流涕;嗅觉减退;睡眠障碍
KeyWord
Key words Chronic Rhinosinusitis; Depressive Disorder; Nasal Obstruction; Runny Nose; Hypoosmia; Sleep Disorder
基金项目
页码 869-871
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陈广涛*. 慢性鼻-鼻窦炎患者抑郁障碍的相关因素调查 [J]. 国际精神病学杂志. 2021; 48; (5). 869 - 871.

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