CAJ | 학술논문

目的调查河南省阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的抑郁状态并初步分析其相关因素.方法经多导睡眠图(PSG)及临床诊断确诊的OSAHS患者1 327例,经症状自评量表(Symptom Checklist 90,SCL-90)、抑郁自评量表(Self-rating Depression Scale,SDS)筛选分为不伴抑郁OSAHS患者和伴抑郁OSAHS患者.采用SPSS 17.0软件分析呼吸暂停低通气指数(AHI)、缺氧程度、家庭负担问卷得分(Family Burden Scale of Disease,FBS)、家庭关怀指数(Family APGAR Index,APGAR)、患者领悟社会支持量表得分(Perceived Social Support Scale,PSSS)等因素与OSAHS患者抑郁状态的相关性,并进一步探讨家庭及社会因素对抑郁状态的影响.结果经筛选,不伴抑郁OSAHS患者698例,伴抑郁OSAHS患者629例,本研究OSAHS患者抑郁伴发率达47.4％ (629/1 327).OSAHS患者抑郁状态与性别、婚姻状况、FBS得分、APGAR指数、AHI指数、PSSS得分及缺氧程度有关;Logistic回归分析提示婚姻状况、APGAR指数、AHI指数、PSSS得分、缺氧程度、高血压、心脏病为OSAHS患者伴发抑郁的独立危险因素.伴发抑郁的OSAHS患者在FBS总分及家庭日常活动、家庭关系和家庭成员心理健康三项因子的评分均大于不伴抑郁OSAHS患者(P值均＜0.05);APGAR总分及适应度和情感度两项因子评分均小于不伴抑郁OSAHS患者(P值均＜0.05);PSSS评分均小于不伴抑郁OSAHS患者(P值均＜0.05).结论河南省OSAHS患者抑郁伴发率较高,其发生与患者婚姻状况、AHI指数、缺氧程度、家庭社会支持及伴发疾病(高血压、心脏病)等因素有较密切的关系.
목적 조사하남성조새성수면호흡잠정저통기종합정(OSAHS)환자적억욱상태병초보분석기상관인소.방법 경다도수면도(PSG)급림상진단학진적OSAHS환자1 327례,경증상자평량표(Symptom Checklist 90,SCL-90)、억욱자평량표(Self-rating Depression Scale,SDS)사선분위불반억욱OSAHS환자화반억욱OSAHS환자.채용SPSS 17.0연건분석호흡잠정저통기지수(AHI)、결양정도、가정부담문권득분(Family Burden Scale of Disease,FBS)、가정관부지수(Family APGAR Index,APGAR)、환자령오사회지지량표득분(Perceived Social Support Scale,PSSS)등인소여OSAHS환자억욱상태적상관성,병진일보탐토가정급사회인소대억욱상태적영향.결과 경사선,불반억욱OSAHS환자698례,반억욱OSAHS환자629례,본연구OSAHS환자억욱반발솔체47.4％ (629/1 327).OSAHS환자억욱상태여성별、혼인상황、FBS득분、APGAR지수、AHI지수、PSSS득분급결양정도유관;Logistic회귀분석제시혼인상황、APGAR지수、AHI지수、PSSS득분、결양정도、고혈압、심장병위OSAHS환자반발억욱적독립위험인소.반발억욱적OSAHS환자재FBS총분급가정일상활동、가정관계화가정성원심리건강삼항인자적평분균대우불반억욱OSAHS환자(P치균＜0.05);APGAR총분급괄응도화정감도량항인자평분균소우불반억욱OSAHS환자(P치균＜0.05);PSSS평분균소우불반억욱OSAHS환자(P치균＜0.05).결론 하남성OSAHS환자억욱반발솔교고,기발생여환자혼인상황、AHI지수、결양정도、가정사회지지급반발질병(고혈압、심장병)등인소유교밀절적관계.
Objective To investigate the comorbidity rate of depression symptoms in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) in Henan province and to ascertain the risk factors.Methods One thousand three hundred and twenty-seven patients with OSAHS determined by overnight polysomnogram(PSG) were enrolled in this study.After screening the Symptom Checklist 90 (SCL-90) and Self-rating Depression Scale (SDS),the patients were divided into two groups:OSAHS (control group,n =698) and OSAHS + depression (n =629).The correlation was explored between the depression symptoms in patients with OSAHS and the sociodemographic variables and health status including smoking,drinking,marital status,apnea hyponea index(AHI),anoxicity,Family Burden Scale of Disease (FBS),Family APGAR Index (APGAR),Perceived Social Support Scale (PSSS) and so on.Furthermore,In-depth analyses were carried out between the depression symptoms in patients with OSAHS and the social and family factor items (FBS,APGAR and PSSS).Results The comorbidity rate of depression symptoms in patients with OSAHS in Henan province was 47.4％,and was correlated with the gender,marital status,FBS,APGAR,AHI,PSSS and anoxicity.Logistic regression analysis indicated that single marital status,APGAR,AHI,PSSS,hypoxemia and heart disease were all independent risk factors for depression in OSAHS patients.The total of the FBS score and three of its subfactors scores(family daily activities,family relationships and mental health of family members) were higher,and the total of the APGAR score and two of its subfactors scores(adaptabilith and affection)were lower in OSAHS with depression compared with the control group(P ＜ 0.05).Besides,the total score for the PSSS AND Scores for its two subfactors (family support and social support) were all lower in OSAHS patients with depression than those of the control group (P ＜ 0.05).Conclusion In patients with OSAHS,depression symptoms are common and are associated with marital status,AHI,anoxicity,concomitant diseases (hypertension,heart disease),concerns and supports from the family and society.