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目的:探讨抑郁症对血液透析(HD)的影响。方法:使用Zung抑郁自评量表(SDS)对患者抑郁情况进行评估,指数50分以上定为抑郁症,观察透析充分性指标(KT/V)、营养状态和采集患者HD时间、并发症数目、HD治疗的依从性等指标。结果:本组153例中,59例(38.6%)存在不同程度的抑郁症,其中23.5%为轻度抑郁,12.4%为中度抑郁,2.6%为重度抑郁。抑郁组营养不良、尿素氮清除指数(KT/V)、HD依从性与非抑郁组比较差异显著。HD患者抑郁症与并发症的数目有相关性,并发症数目多,抑郁症的发病率增加。随着HD时间的增加,抑郁症患病率呈上升趋势,HD时间≤1年患病率为12%,3年、5年组为51.6%和52.4%,HD时间和抑郁症患病率有相关性。结论:抑郁症使HD患者透析不充分、营养不良、并发症增加,应受到重视。
Objective: To investigate the effect of depression on hemodialysis (HD). Methods: Depression was evaluated by using Zung depression self-rating scale (SDS). Depression was assessed at 50 points or more. KT / V, nutritional status and HD time were recorded. The number of complications , HD treatment compliance and other indicators. Results: Of 153 cases, 59 cases (38.6%) had different degree of depression, of which 23.5% were mild depression, 12.4% were moderate depression and 2.6% were severe depression. Depression, malnutrition, urea nitrogen clearance index (KT / V), HD compliance and non-depression group significant difference. There is a correlation between depression and the number of complications in HD patients. The number of complications and the incidence of depression are increased. With the increase of HD time, the prevalence of depression was on the rise. The prevalence of HD was 12% in 1 year, 51.6% in 3 years, and 52.4% in 5 years. The prevalence of HD and depression were Correlation. Conclusion: Depression makes HD patients with inadequate dialysis, malnutrition, increased complications, should be taken seriously.