CAJ | 학술논문

目的：调查维持性血液透析患者抑郁患病发生情况并分析其影响因素，为制定治疗策略，提高生存质量提供依据。方法采用横断面研究，应用汉密尔顿抑郁量表调查规律性血液透析患者67例，将患者分为抑郁组及非抑郁组，同时收集患者的基本资料及实验室数据。结果67例维持性血液透析患者中抑郁患病率为61%，抑郁患者中独身率，血清C反应蛋白水平明显高于非抑郁患者，而血红蛋白，血清白蛋白水平则明显偏低，进一步发现患者的年龄，性别，透析时间，文化程度，及透析充分性在两组之间无显著差异。结论维持性血液透析患者中抑郁患病率高，与婚姻状况，肾性贫血，慢性炎症及营养状态有关，其中婚姻状况，血红蛋白的水平可能是重要的相关因素。
목적：조사유지성혈액투석환자억욱환병발생정황병분석기영향인소，위제정치료책략，제고생존질량제공의거。방법채용횡단면연구，응용한밀이돈억욱량표조사규률성혈액투석환자67례，장환자분위억욱조급비억욱조，동시수집환자적기본자료급실험실수거。결과67례유지성혈액투석환자중억욱환병솔위61%，억욱환자중독신솔，혈청C반응단백수평명현고우비억욱환자，이혈홍단백，혈청백단백수평칙명현편저，진일보발현환자적년령，성별，투석시간，문화정도，급투석충분성재량조지간무현저차이。결론유지성혈액투석환자중억욱환병솔고，여혼인상황，신성빈혈，만성염증급영양상태유관，기중혼인상황，혈홍단백적수평가능시중요적상관인소。
Objective To survey the prevalence of depression and related factors in maintenance hemodialysis patients to provide basis for treatment strategy and the quality improving of life. Methods 67 cases of hemodialysis patients were studied by cross sectional and investigated with hamilton depres-sion scale. They were divided into depression group and non depression group, at the same time the basic data and laboratory data was collected. Results Depression prevalence in maintenance hemodial-ysis patients was 61%. Single rate in depression patients, serum C-reactive protein levels were signifi-cantly higher than non-depressed patients. While the hemoglobin, serum albumin levels were signifi-cantly lower, further found that the patient’s age, gender, dialysis time, culture degree, and dialysis suf-ficiency in the two groups had no significant difference. Conclusion Prevalence of depression in main-tenance hemodialysis patients was high. It were associated with marital status, renal anemia, chronic in-flammation and nutrition state. The marital status, hemoglobin level may be important factors.