疑难病杂志Issue(3)：249-252,255,5.DOI:10.3969/j.issn.1671-6450.2014.03.011
支气管哮喘控制水平与焦虑抑郁情绪关系的研究
Study of the relation between bronchial asthma control level and anxiety and depression
摘要
Abstract
Objective To analysis bronchial asthma (asthma) control level and its relationship with anxiety or de -pression, to explore the possible reason of anxiety and depression of asthma patients .Methods Selected from May 2012 to May 2013, 62 cases of clinic patients in PLA General Hospital , conducted a cross-sectional study of pulmonary with asthma , to assess their level of asthma control , lung function and anxiety and depression .By using 2008 Standard Guide Bronchial Asthma control criterion to assess asthma control level .Integrated hospital anxiety and depression scale (HAD) to evaluate of anxiety and depression.62 patients were divided into an entirely control group , partially control group and the non-control group to analyze the relationship between different levels of asthma control in patients with anxiety and depression .Results Anxiety in 18 cases (29.0%), depression in 20 patients (32.3%) in the presence of 62 cases of patients with asthma, and the presence of anxiety and depression in 10 patients (16.1%).Between duration and age and depression scores were signifi -cantly positively correlated ( r =0.300, P <0.05; r =0.307, P <0.05), while between anxiety scores and no significant correlation ( r =0.222, P >0.05; r =-0.023, P >0.05).No control group of patients and incidence of anxiety and de -pression scores were significantly higher than the control group and some completely control group ( P <0.01, P <0.05). Asthma is well controlled and the incidence of anxiety and depression were negatively correlated (r values were -0.334 and-0.416, P <0.01).Between ACT scores and anxiety and depression scores were significantly negatively correlated ( r =-0.341, P <0.01; r =-0.464, P <0.01).ACQ score between anxiety and depression scores were significantly positively correlated ( r =0.378, P <0.01; r =0.443, P <0.01).FEV no significant correlation between 1% and anxiety and de-pression scores ( r =-0.096, P >0.05; r =-0.126, P >0.05).There was no significant correlation between PEF %with anxiety and depression scores ( r =-0.240, P >0.05; r =-0.240, P >0.05).Anxiety group compared with the non-anxious group, FEV1%, PEF% lower, but the difference was not statistically significant ( P >0.05).Depression group compared with non-depressed group, FEV1%, PEF% lower, but the difference was not statistically significant ( P >0.05). There was no significant correlation between airway inflammatory markers (FeNO) and anxiety and depression scores ( r =0.014, P >0.05; r =-0.073, P >0.05).Conclusion Nearly a third of the asthmatic patients suffer from anxiety and de -pression.Level of asthma control in patients with anxiety and depression are closely related to poorly controlled asthma may in -crease the incidence of anxiety and depression .Uncontrolled asthma symptoms, quality of life may be an important cause of asthma patients with anxiety and depression .There was no significant correlation between anxiety and depression in patients with lung function and airway conditions and inflammatory markers .关键词
哮喘/哮喘控制测试/哮喘控制问卷/综合医院焦虑抑郁量表/焦虑/抑郁/相关性Key words
Asthma/Asthma cotrol test/Asthma control questionnaire/General hospital anxiety and depression scale/Anxiety/Depression/Relevance引用本文复制引用
牛晓婷,胡红,许菡苡,白雪..支气管哮喘控制水平与焦虑抑郁情绪关系的研究[J].疑难病杂志,2014,(3):249-252,255,5.基金项目
中华医学会临床医学科研专项资金 （）
