冠心病抑郁与脑卒中后抑郁发病危险因素对比

目的: 探讨冠心病(CHD)抑郁与脑卒中后抑郁(PSD)危险因素分布的差异,为CHD与PSD的病因防治研究提供参考依据.方法: 选择CHD和脑卒中患者257例,收集临床资料,对危险因素进行单因素和多因素logistic回归分析.结果: 单因素分析结果显示,2组患者性别、年龄、职业、经济状况、吸烟、饮酒和高血压等危险因素间差异均有统计学意义(P<0.05).多因素logistic回归分析结果显示,男性和高血压危险因素对PSD患者的作用强度均大于CHD抑郁者(P<0.05和P<0.01);年龄偏大和职业为干部危险因素对CHD抑郁患者的作用强度大于PSD患者(P<0.05).结论: CHD抑郁和PSD危险因素的分布均存在着不同.

Comparsion of the risk factors of coronary heart disease complicated with depression and post stroke depression

Objective： To investigate the difference of the risk factors of coronary heart disease（ CHD） complicated with depression and post stroke depression（ PSD）,and provide the reference for preventing and treating CHD and PSD etiology. Methods： The general data and clinical data of patients with CHD and stroke were collected,the risk factors of which were analyzed using univariate and multivariate Logistic regression analysis. Results： The differences of gender,age,occupation,economic status,smoking and alcohol consumption between two groups were statistically significant using univariate analysis（ P〈0.05）. Logistic regression analysis showed that the effects of male and hypertension on PSD patients were greater than that on CHD patients with depression（ P〈0.05 and P〈0.01）,and the effects of older and occupation on CHD patients with depression were greater than that on PSD patients（ P〈0.05）.Conclusions： The risk factors of CHD depression and PSD are different.