42例肿瘤患者术后焦虑和抑郁障碍的临床分析

目的探讨肿瘤患者术后焦虑和抑郁障碍的临床特征,为正确诊断和及时治疗焦虑和抑郁症提供临床依据。方法用前瞻性方法对42例恶性肿瘤并发焦虑及抑郁障碍患者进行临床特点和相关因素的分析;治疗前后焦虑量表（HAMA）和抑郁量表（ZUNG）评分分析。结果肿瘤患者中,发生焦虑和抑郁障碍最主要的躯体症状为睡眠障碍,其次为乏力、出汗、心慌、心悸、头痛、胃肠不适。结论以失眠为突出表现的躯体症状发病是肿瘤患者发病特点;乳腺癌及术后发病率较其他肿瘤患者高。抗焦虑及抑郁治疗疗效显著。

Clinical analysis of depression and anxiety occurred after operation of malignant tumor in 42 cases

Objective To investigate the clinic features of anxiety and depression complicated in the patients suffering from malignant tumors and provide evidence for the diagnosis and treatment.Methods Forty-two malignant tumor patients complicated with depression and anxiety were perspectively studied for their clinical symptoms and related factors.HAMA and ZUNG rating scales were used to evaluate the patients' emotional status before and after operation.Results The main somatic symptom in the patients was dyssomnia,followed by fatigue,sweating,palpitation,headache,gastrointestinal upset.Conclusion The development of depression and anxiety in malignant tumor patients is characterized by dyssomnia.The incidence of anxiety and depression in the breast cancer patients is relatively high.The anti-depression and anti-anxiety therapy is beneficial.