中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2014年
5期
385-387
,共3页
吴立飞%刘昌伟%陆欣欣%陈宇%来志超%刘暴
吳立飛%劉昌偉%陸訢訢%陳宇%來誌超%劉暴
오립비%류창위%륙흔흔%진우%래지초%류폭
颈动脉狭窄%焦虑%抑郁
頸動脈狹窄%焦慮%抑鬱
경동맥협착%초필%억욱
Carotid stenosis%Anxiety%Depression
目的 探讨颈动脉狭窄(carotid artery stenosis,CAS)患者的焦虑和抑郁状态,以及脑缺血症状和脑梗死灶对焦虑和抑郁状态的影响.方法 使用William WK.Zung编制的焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS),对93例在北京协和医院血管外科住院治疗的颈动脉狭窄患者的焦虑和抑郁状态严重程度进行评价,并以同时期住院的146例下肢静脉曲张患者作为对照组.结果 颈动脉狭窄患者SAS、SDS评分显著高于静脉曲张组[SAS:(32 ±8)分和(29±7)分,P＜0.001;SDS:(42±14)分和(35±11)分,P＜0.001].此外,颈动脉狭窄症状组与非症状组[SAS:(32±8)分和(32±7)分,P=0.780;SDS:(41±14)分和(42±14)分,P =0.830]、脑梗死灶组与非脑梗死灶组[SAS:(31 ±8)分和(33±8)分,P=0.147;SDS:(39±14)分和(43±13)分,P=0.241],SAS、SDS评分结果差异无统计学意义.结论 颈动脉狭窄患者较易发生焦虑和抑郁等情感障碍,且与颈动脉狭窄患者是否伴发近期脑缺血症状和有无脑梗死灶无关.
目的 探討頸動脈狹窄(carotid artery stenosis,CAS)患者的焦慮和抑鬱狀態,以及腦缺血癥狀和腦梗死竈對焦慮和抑鬱狀態的影響.方法 使用William WK.Zung編製的焦慮自評量錶(Self-Rating Anxiety Scale,SAS)和抑鬱自評量錶(Self-Rating Depression Scale,SDS),對93例在北京協和醫院血管外科住院治療的頸動脈狹窄患者的焦慮和抑鬱狀態嚴重程度進行評價,併以同時期住院的146例下肢靜脈麯張患者作為對照組.結果 頸動脈狹窄患者SAS、SDS評分顯著高于靜脈麯張組[SAS:(32 ±8)分和(29±7)分,P＜0.001;SDS:(42±14)分和(35±11)分,P＜0.001].此外,頸動脈狹窄癥狀組與非癥狀組[SAS:(32±8)分和(32±7)分,P=0.780;SDS:(41±14)分和(42±14)分,P =0.830]、腦梗死竈組與非腦梗死竈組[SAS:(31 ±8)分和(33±8)分,P=0.147;SDS:(39±14)分和(43±13)分,P=0.241],SAS、SDS評分結果差異無統計學意義.結論 頸動脈狹窄患者較易髮生焦慮和抑鬱等情感障礙,且與頸動脈狹窄患者是否伴髮近期腦缺血癥狀和有無腦梗死竈無關.
목적 탐토경동맥협착(carotid artery stenosis,CAS)환자적초필화억욱상태,이급뇌결혈증상화뇌경사조대초필화억욱상태적영향.방법 사용William WK.Zung편제적초필자평량표(Self-Rating Anxiety Scale,SAS)화억욱자평량표(Self-Rating Depression Scale,SDS),대93례재북경협화의원혈관외과주원치료적경동맥협착환자적초필화억욱상태엄중정도진행평개,병이동시기주원적146례하지정맥곡장환자작위대조조.결과 경동맥협착환자SAS、SDS평분현저고우정맥곡장조[SAS:(32 ±8)분화(29±7)분,P＜0.001;SDS:(42±14)분화(35±11)분,P＜0.001].차외,경동맥협착증상조여비증상조[SAS:(32±8)분화(32±7)분,P=0.780;SDS:(41±14)분화(42±14)분,P =0.830]、뇌경사조조여비뇌경사조조[SAS:(31 ±8)분화(33±8)분,P=0.147;SDS:(39±14)분화(43±13)분,P=0.241],SAS、SDS평분결과차이무통계학의의.결론 경동맥협착환자교역발생초필화억욱등정감장애,차여경동맥협착환자시부반발근기뇌결혈증상화유무뇌경사조무관.
Objective To investigate the distribution of anxiety and depression disorders in patients of carotid artery stenosis (CAS),and the relationship between symptoms of cerebral infarction and the severity of anxiety and depression.Methods We used Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale(SDS) created by William W.K.Zung to evaluate the anxiety and depression disorders associated with CAS in 93 patients hospitalized at the Department of Vascular Surgery,and 146 hospitalized varicose veins patients as acontrols.Results The scales of CAS are significantly higher than the control group(SAS:32 ± 8 vs 29 ± 7,P ＜ 0.001 ; SDS:42 ± 14 vs 35 ± 11,P ＜ 0.001),within-group analysis of CAS shows that there is no statistical difference between symptomatic group and non-symptomatic group (SAS:32 ±8 vs 32 ± 7,P =0.780; SDS:41 ± 14 vs 42 ± 14,P =0.830),or between infarction group and non-infaction group (SAS:31 ± 8 vs 33 ± 8,P =0.147; SDS:39 ± 14 vs 43 ± 13,P =0.241).Conclusions CAS can cause anxiety and depression disorders,and the disorders are not related to symptoms of cerebral ischemia and cerebral infarction.
