高血压患者血管紧张素及醛固酮水平与抑郁的关系研究

Study on The Relationship Between Angiotensin and Aldosterone Levels and Depression in Patients with Hypertension

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

河南科技大学第一附属医院 ;

摘要
【摘要】研究高血压患者醛固酮、血管紧张素水平与抑郁的关系。方法 选择本院2019年1月-2020年1月125例高血压患者为研究对象,采用抑郁自评量表(SDS)调查其合并抑郁情况,并设为抑郁组以及非抑郁组,选择年龄、性别配对的50名同期体检人群作为对照组,比较三组患者SDS量表并检测血清醛固酮(ALD)、血管紧张素(Ang-Ⅰ、Ang-Ⅱ)水平,分析高血压患者醛固酮、血管紧张素水平与抑郁的相关性。结果 125例高血压患者合并抑郁32例,发生率为25.60%;抑郁组血清ALD、Ang-Ⅰ、Ang-Ⅱ水平以及SDS评分均显著高于非抑郁组与对照组,非抑郁组血清ALD、Ang-Ⅰ、Ang-Ⅱ水平以及SDS评分显著高于对照组,差异均有统计学意义(P<0.05);血清ALD、Ang-Ⅰ、Ang-Ⅱ水平与SDS评分均呈正相关关系(P<0.05)。结论 血清ALD、Ang-Ⅰ、Ang-Ⅱ水平与高血压患者抑郁情绪呈正相关,其水平上升可能参与高血压患者抑郁的发生与发展。
Abstract
[Abstract] Objective To study the relationship between angiotensin and aldosterone levels and depression in patients with hypertension. Methods A total of 125 patients with hypertension from January 2019 to January 2020 in our hospital were selected as the research object, and self-rating depression scale (SDS) was used to investigate combined depression. They were set as the depressive group and the non-depressive group. 50 age-matched people with physical examination at the same time were selected as the control group. The SDS scales of the three groups were compared and serum aldosterone (ALD) and angiotensin (Ang-Ⅰ, Ang-Ⅱ) levels were detected. The correlations between aldosterone and angiotensin levels and depression in hypertensive patients were analyzed. Results 125 patients with hypertension combined with depression in 32 cases, the incidence rate was 25.60%; and serum ALD, Ang-Ⅰ, Ang-Ⅱ levels and SDS scores of depression group were significantly higher than those of non-depression group and control group, serum ALD, Ang of non-depression group -Ⅰ, Ang-Ⅱ levels and SDS scores were significantly higher than the control group, the differences were statistically significant (P <0.05); and serum ALD, Ang-Ⅰ, Ang-Ⅱ levels were positively correlated with SDS scores (P <0.05 ). Conclusion Serum ALD, Ang-Ⅰ, Ang-Ⅱ levels are positively correlated with depression in hypertensive patients, and their increase may be involved in the occurrence and development of depression in hypertensive patients.
基金项目
页码 647-649
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王闯*. 高血压患者血管紧张素及醛固酮水平与抑郁的关系研究 [J]. 国际精神病学杂志. 2022; 49; (4). 647 - 649.

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