山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2015年
31期
17-19
,共3页
慢性阻塞性肺疾病%抑郁症%肺功能%生活质量
慢性阻塞性肺疾病%抑鬱癥%肺功能%生活質量
만성조새성폐질병%억욱증%폐공능%생활질량
chronic obstructive pulmonary disease%depression%pulmonary function%quality of life
目的：探讨抑郁与稳定期慢性阻塞性肺疾病（COPD）患者肺功能、生活质量的关系。方法稳定期COPD患者80例，采用医院焦虑抑郁量表中抑郁量表部分（HAD-D）对所有受试者进行抑郁状态评估，根据HAD-D评分分为非抑郁组（＜8分）与抑郁组（≥8分）。观察两组肺功能、6分钟步行距离（6MWD）、MRC呼吸困难指数（mMRC）评分、COPD评估测试（CAT）量表评分等方面的差异。结果抑郁组9例、非抑郁组71例。抑郁组与非抑郁组的肺功能、6MWD、mMRC评分比较无统计学差异。抑郁组CAT总分、活动能力、精神状态得分分别为（21．11±5．46）、（7．44±1．51）、（4．78±2．39）分，均高于非抑郁组的（13．87±6．33）、（4．07±2．87）、（2．90±2．36）分。 COPD患者HAD-D评分与CAT总分呈正相关（r＝0．495，P＝0．000）。结论抑郁与稳定期COPD患者肺功能无关，与生活质量有关。
目的：探討抑鬱與穩定期慢性阻塞性肺疾病（COPD）患者肺功能、生活質量的關繫。方法穩定期COPD患者80例，採用醫院焦慮抑鬱量錶中抑鬱量錶部分（HAD-D）對所有受試者進行抑鬱狀態評估，根據HAD-D評分分為非抑鬱組（＜8分）與抑鬱組（≥8分）。觀察兩組肺功能、6分鐘步行距離（6MWD）、MRC呼吸睏難指數（mMRC）評分、COPD評估測試（CAT）量錶評分等方麵的差異。結果抑鬱組9例、非抑鬱組71例。抑鬱組與非抑鬱組的肺功能、6MWD、mMRC評分比較無統計學差異。抑鬱組CAT總分、活動能力、精神狀態得分分彆為（21．11±5．46）、（7．44±1．51）、（4．78±2．39）分，均高于非抑鬱組的（13．87±6．33）、（4．07±2．87）、（2．90±2．36）分。 COPD患者HAD-D評分與CAT總分呈正相關（r＝0．495，P＝0．000）。結論抑鬱與穩定期COPD患者肺功能無關，與生活質量有關。
목적：탐토억욱여은정기만성조새성폐질병（COPD）환자폐공능、생활질량적관계。방법은정기COPD환자80례，채용의원초필억욱량표중억욱량표부분（HAD-D）대소유수시자진행억욱상태평고，근거HAD-D평분분위비억욱조（＜8분）여억욱조（≥8분）。관찰량조폐공능、6분종보행거리（6MWD）、MRC호흡곤난지수（mMRC）평분、COPD평고측시（CAT）량표평분등방면적차이。결과억욱조9례、비억욱조71례。억욱조여비억욱조적폐공능、6MWD、mMRC평분비교무통계학차이。억욱조CAT총분、활동능력、정신상태득분분별위（21．11±5．46）、（7．44±1．51）、（4．78±2．39）분，균고우비억욱조적（13．87±6．33）、（4．07±2．87）、（2．90±2．36）분。 COPD환자HAD-D평분여CAT총분정정상관（r＝0．495，P＝0．000）。결론억욱여은정기COPD환자폐공능무관，여생활질량유관。
Objective To investigate the relationships between depression, pulmonary function and quality of life in patients with stable chronic obstructive pulmonary disease ( COPD) .Methods The depression subscale scores in Hospital Anxiety and Depression Scale ( HAD-D) were used to determine the level of depression that a patient is experiencing.Ac-cording to HAD-D, 80 stable COPD patients were divided into the non-depression group ( HAD-D<8 scores) and the de-pression group (HAD-D≥8 scores).The differences in the pulmonary function, six-minute walk distance (6MWD), the modified Medical Research Council dyspnoea scale (mMRC) and COPD Assessment Test (CAT) between the two groups were observed.Results There were 9 cases in the depression group and 71 cases in the non-depression group who were experiencing depression.No significant differences in the pulmonary function, 6MWD and mMRC scores were found be-tween the two groups.In the depression group, total CAT scores, CAT subscores of activity and mentality were separately 21.11 ±5.46, 7.44 ±1.51 and 4.78 ±2.39, which were significantly higher than the non-depression group with the scores of 13.87 ±6.33, 4.07 ±2.87 and 2.90 ±2.36, respectively.HAD-D scores were positively correlated with the to-tal CAT scores (r=0.495, P=0.000) in stable COPD patients.Conclusion Depression is not related with pulmonary function, but is related with the quality of life in patients with stable COPD.
