慢性阻塞性肺疾病患者情绪障碍及其影响因素分析

目的 探讨慢性阻塞性肺疾病患者情绪障碍状况以及导致情绪障碍的主要影响因素。方法采用抑郁自评量表（SDS）和焦虑自评量表（SAS）对100例慢性阻塞性肺病患者抑郁、焦虑状况进行了评价。结果慢性阻塞性肺病患者SDS、SAS总平均分与我国常模比较差异有统计意义（P〈0.01），有合并症组与无合并症组SDS、SAS评分间差异均有统计学意义（P〈0.001）。FEV1占50%以上COPD患者SDS、SAS的评分与FEV，占50％放下的COPD患者SDS、SAS的评分间差异均有统计学意义（P〈0.001）。COPD患者女性的SDS、SAS评分明显高于男性，差异有统计学意义（P〈0．05）。结论慢性阻塞性肺病患者存在情绪障碍，心理辅导治疗应作为慢性阻塞性肺病患者综合治疗的重要内容。

Analysis on Depression and Anxiety in Patients with COPD and Its Influence Factors

Objective To obtain the information of Depression and Anxiety in patients with chronic obstructive pulmonary disease （COPD） and its main factors of influence. Methods Two standardized scaies＂ Self Rating Depression Scale, SDS＂ and ＂ Self Rating Anxiety.Scale, SAS＂ were performed for the survey in the study. 100 cases （80 males, 20 females） of COPD were investigated. Results The total average marks of SDS and SAS on COPD were significantly higher than that of normal drove （P 〈0. 01 ）. Female＇s total average marks were higher than the marks on males（P 〈0. 05）. The marks of patients with forced expiratory volume in 1 second （FEV1 ） more than 50% were significantly higher ‘than the marks ＇of patients with FEVl less than 50%. COPD with comPlication were higher than without complication （p 〈0. 001 ）. Conclusion .patients with COpD have serious depression and anxiety, and psychological therapy should be considered a very important part.