女性抑郁症的心血管系统症状特征及其临床意义

目的：探讨女性抑郁症患者心血管系统症状特征及其临床意义。方法：分析女性抑郁症患者的心血管系统症状特征和表现,采用精神卫生症状自评量表（SCL-90）评价心理健康状况,采用超声心动图测定左心室射血分数LVEF）．以48例男性抑郁症患者为对照。对56例女性抑郁症患者的症状学和心理健康状况进行比较。结果：女性抑郁症患者心血管系统症状发生率为100％,男性为37．5％;症状等级女性为：轻度30．4％,中度41．1％,重度28．6％;男性为：轻度18．8％,中度12．5％,重度6．3％,男女患者之间均有显著性差异（P〈O．05）。SCL-90结果比较,女性躯体化（P〈0．01）,恐怖得分（P〈0．05）显著多于男性,其余各因子及LVEF两组无显著差异（P均〉0．05）。结论：女性抑郁症患者心血管系统症状发生率较高且较重。须及时进行心理、精神方面的检查,并采取相应的治疗。

Symptom character of cardiovascular system in female patients with depressive disorder and their clinical significance

Objective： To investigate the symptom character of cardiovascular system （CVS） in female patients with depressive disorder. Methods： Fifty-six female patients with depressive disorder were enrolled. The symptoms in CVS were recorded. The psychological health status was evaluated by simptom checklist （SCL）-90. The left ventricular ejection fraction （LVEF） was assessed by ultrasonic echocardiogram. The male patients （n=48） were used as control. Results： The incidence rate of CVS symptoms was 100% in the female patients, of which 17 cases （30.4%） were light-grade, 23 cases （41.1%） were mid-grade, and 16 cases （28. 6%） were heavy-grade respectively. Which was significantly higher than those in the male patients （37.5%, 18.8%, 12.5%, 6.3% respectively, P〈0.05 all）. As for the results of SCL-90, the score of somatization factor was 3.8 in average, and the score of phobophobia factor was 2.6 in average, which were also higher when compared with those in the male patients （P〈0.05）. However, there was no difference in LVEF between the females and the males （0.58 vs. 0.61, P〉0.05）. Conclusion： The female pa-tients with depressive disorder have more symptoms in CVS when compared with the male patients. It indicates that it is necessary to receive detection and medication in psychology for such patients.