COPD患者焦虑及抑郁情绪状态及与BODE指数相关性分析

The relationship between anxiety and depression state and BODE index in patients with COPD

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

湖北医药学院附属东风总医院 ;
湖北医药学院附属东风总医院 ;
湖北十堰东风口腔医院 ;

摘要
【摘要】目的:研究慢性阻塞性肺疾病(COPD)患者的焦虑抑郁状态、BODE指数及其相关性。方法:研究对象选取我院2015年8月到2016年12月间收治的COPD患者93例,其中急性加重期COPD患者52例(AECOPD组)、稳定期COPD患者41例(SCOPD组),采用Hamilton抑郁量表(HAMD)和Hamilton焦虑量表(HAMA)评价患者抑郁和焦虑评分,同时测量BODE指数。比较两组患者的临床资料、HAMD、HAMA及BODE指数,同时比较不同BODE指数分级患者的HAMD和HAMA评分,采用Logistic多元回归分析BODE指数与HAMD和HAMA评分相关性。结果:AECOPD组的HAMD、HAMA评分及BODE指数均明显高于SCOPD组(P<0.01);随着BODE指数分级增加,COPD患者的HAMD和HAMA评分均呈明显增加趋势;Logistic多元回归分析显示,HAMD和HAMA评分与BODE指数均呈明显正相关(r2=0.56,0.53)。结论:COPD患者多伴有焦虑、抑郁情绪,且与患者BODE指数呈正相关,同时检测BODE指数可作为COPD患者病情、焦虑、抑郁程度评估指标,具有重要的指导价值。
Abstract
[Abstract]Objective:To study the chronic obstructive pulmonary disease (COPD) patients with anxiety and depression, the BODE index and its correlation.Methods:The subjects were 93 cases COPD patients in our hospital from August 2015 to December 2016,52 patients with acute exacerbation of COPD (AECOPD group),41 patients with stable COPD(SCOPD group),using Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores of depression and anxiety, and measurement of the BODE index .compared two groups of the clinical data of HAMD, HAMA and BODE index, BODE index and comparison of different classification of patients with HAMD and HAMA score,and the HAMD and HAMA scores of patients with different BODE indices were compared,Logistic regression analyze the correlation between BODE index and HAMD score and HAMA score.Results:AECOPD group of the HAMD, HAMA score and BODE index were significantly higher than SCOPD group(P<0.01);with BODE index increase,COPD patients of the HAMD and HAMA scores were significantly increased;Logistic multivariate regression analysis showed,HAMD and HAMA scores were positively correlated with BODE index (r2=0.56,0.53). Conclusion: COPD patients with anxiety, depression, and is associated with the BODE index in patients with positive, simultaneous detection of BODE index can be used as the disease, COPD patients with anxiety, depression evaluation index, has an important guiding value.
关键词
【关键词】COPD;焦虑;抑郁;BODE指数;相关性
KeyWord
[Key words]COPD; anxiety; depression; BODE index; correlation
基金项目
页码 496-498
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李凡,任涛, 程立,李亚新, 刘彩云*. COPD患者焦虑及抑郁情绪状态及与BODE指数相关性分析 [J]. 国际精神病学杂志. 2017; 44; (3). 496 - 498.

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