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目的探讨充血性心力衰竭(CHF)后伴发抑郁的相关危险因素。方法回顾性分析我院2010年1月-2012年6月住院部收治的CHF90例的临床资料。结果 CHF后伴发抑郁组与对照组比较,存在差异统计学(P<0.01)的指标有病程、丧失工作能力和心功能分级;同时,在女性人数方面,CHF后伴抑郁组较对照组少,存在差异有统计学意义(P<0.05);两组比较无差异统计学(P>0.05)的指标有年龄、吸烟、合并糖尿病、高血压、轻度慢性肾脏疾病。结论 CHF后伴发抑郁的独立危险因素有病程、心功能分级和丧失工作能力。
Objective To investigate the risk factors associated with depression after congestive heart failure (CHF). Methods The clinical data of CHF90 cases hospitalized in our hospital from January 2010 to June 2012 were analyzed retrospectively. Results Compared with the control group, there was significant difference (P <0.01) between the depression-related CHF group and the control group, and the duration of illness, incapacity of work and the grade of heart function were significantly different. At the same time, there was less number of women in the depression group than in the control group (P <0.05). There was no significant difference between the two groups (P> 0.05) of the indicators of age, smoking, diabetes, hypertension, mild chronic kidney disease. Conclusion The independent risk factors associated with depression after CHF are the course of disease, the classification of cardiac function and the loss of working ability.