老年血液透析患者抑郁症状与血液透析稳定的相关性研究

目的 :研究老年维持性血透患者抑郁症状与血透过程中并发症的关系。方法 :采用抑郁自评量表 (SDS)对我院 19例老年血透患者、 3 2例中青年血透患者及 3 1例健康人员进行心理测评。结果 :血透患者总体抑郁自评量表标准分显著高于正常对照组 ,两组比较P <0 0 1。老年组透析中高血压、低血压、头痛、胃肠反应、室性早搏及房性早搏发生率明显高于中青年组 ;SDS标准分 >60的老年患者低血压、头痛、胃肠反应、室性早搏及房性早搏的发生率显著高于SDS标准分小于 5 9的老年患者 ;SDS标准分大于 60的老年患者低血压及室性、房性早搏发生率明显高于SDS标准分小于 60的中青年患者 ;而后者胃肠反应显著高于SDS标准分大于 60的老年患者。SDS标准分大于 60的中青年患者高血压、头痛、胃肠反应及房性早搏发生率显著高于SDS标准分小于 5 9的中青年患者。结论 :老年血透患者合并抑郁症状时 ,在血液透析中并发症发生率增多

Depression in Elderly Patients with Hemodialysis

Objective: To study the relationship between depression and side effects of hemodialysis in elderly patients Method: 19 elderly patients and 32 adult patients regularly receiving hemodialysis completed SDS (Zung's Self-rating Depression Scale) Side-effects (complications) during their hemodialysis were recorded Results: Elderly patients had more complications than adult, such as hypertension, hypotension, headache, vomiting, ventricular and atrial arrhythmia (P<0 01) Elderly patients with SDS>60 had more above complications than elderly with SDS<59 Similar differences also existed in adult patients In patients with SDS>60, elderly had more hypotension, atrial or ventricular arrhythmia and less vomiting than adult Conclusion: In the period of hemodialysis, elderly patients with depression has more complications