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上海市静安寺社区老年人群抑郁与冠心病的相关性队列研究

顾慧慧 沈竹夏 沈志文 梁小妞 孙育民 丁玎 王骏

老年医学与保健2017,Vol.23Issue(6):553-556,4.
老年医学与保健2017,Vol.23Issue(6):553-556,4.

上海市静安寺社区老年人群抑郁与冠心病的相关性队列研究

Cross-sectional study on the Correlation between Depression and Coronary Heart Disease in the Elderly Population in Jing'an Temple Community, Shanghai

顾慧慧 1沈竹夏 1沈志文 1梁小妞 2孙育民 1丁玎 2王骏1

作者信息

  • 1. 复旦大学附属静安区中心医院心内科,上海200040
  • 2. 复旦大学附属华山医院神经内科,上海200040
  • 折叠

摘要

Abstract

Objective To explore the correlation between depression and coronary heart disease (CHD) in the elderly population so as to provide basis for psychological health care of the elderly with coronary heart disease.Methods center for epidemiological studies depression scale (CES-D) was applied to the subjects who were divided into 2 groups:CHD group and non-CHD group;the correlation between CES-D scores and CHD was explored and further analysis was made to the relation of CES-D scores and depression with the parameters of glucose and lipid metabolism.Results Depression existed in 626 elderly out of the 3 580 research subjects in total (17.5%);there existed a statistical difference in CES-D scores and depression between CHD group and non-CHD group [9 (4~ 16) vs 6 (2~12),P< 0.001] (26.6% vs 16.1%,P<0.001);CES-D scores (OR=1.029,95%CI:1.017~1.042) and depression (OR=75.6%,95%CI:1.370~2.250) were the independent risk factors of CHD;analysis between the gender subgroups showed out the same results;the level of high density lipoprotein cholesterol (HDL-C) in patients with depression was statistically different from that of the norm (P < 0.05);CES-D score was irrelative to the parameters of glucose and lipid metabolism.Conclusions There exists a certain correlation among CES-D score,depression symptoms and CHD.

关键词

老年人群/冠心病/抑郁/流行病学研究用抑郁自评量表

Key words

elderly population/coronary heart disease (CHD)/depression/center for epidemiological studies depression scale (CES-D)

引用本文复制引用

顾慧慧,沈竹夏,沈志文,梁小妞,孙育民,丁玎,王骏..上海市静安寺社区老年人群抑郁与冠心病的相关性队列研究[J].老年医学与保健,2017,23(6):553-556,4.

基金项目

上海市医学重点专科建设项目(ZK2015B13) (ZK2015B13)

老年医学与保健

OACSTPCD

1008-8296

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