论文部分内容阅读
目的:探索社区老人抑郁障碍与代谢综合征间的发生发展关系。方法:采用分层随机抽样法,对上海浦东新区>55岁的老年人进行调查,并在3年后对上述老人进行复查。以DSM-Ⅳ轴Ⅰ障碍定式临床检查患者版本为调查诊断工具,以内科诊断结果为代谢性疾病诊断依据。分析入组者抑郁障碍及代谢性疾病的患病率和易感因素。结果:调查第1年抑郁障碍发生率为16.76%,第3年为17.61%;调查第1年重症抑郁发生率为2.77%、亚临床抑郁发作2.82%、轻度抑郁发作3.99%、恶劣心境7.18%;与第3年比较均差异无统计学意义(P>0.05)。调查第1年代谢综合征患病率为56.25%、其中高血压为50.41%、糖尿病14.38%及高脂血症8.34%,与第3年比较均差异无统计学意义(P>0.05);代谢综合征与抑郁障碍共病率为23.72%,糖尿病与抑郁障碍共病率最高(52.32%),同时患有3种代谢性疾病者其与抑郁障碍的共病率为70.49%,明显高于患有2种、1种及无代谢性疾病者(P<0.05)。结论:3年内老年人MS与抑郁障碍的发生发展趋势相对平稳。
Objective: To explore the relationship between depression and metabolic syndrome in community elders. Methods: A stratified random sampling method was used to investigate the aged 55 years old in Pudong New Area, Shanghai. The elderly were reviewed after 3 years. DSM-Ⅳ axis I-defined clinical examination of the patient version of the diagnostic tool for the diagnosis, medical diagnosis of metabolic disease diagnosis based on. The prevalence and susceptibility factors of depression and metabolic diseases were analyzed. Results: The incidence of depression was 16.76% in the first year and 17.61% in the third year. The incidence of major depression was 2.77% in the first year, 2.82% in the sub-clinical depression, 3.99% in the mild depression and 7.18 in the bad mood %; Compared with the third year there was no significant difference (P> 0.05). The prevalence of metabolic syndrome in the first year was 56.25%, of which hypertension was 50.41%, diabetes 14.38% and hyperlipidemia 8.34%, no significant difference compared with the third year (P> 0.05); metabolic The comorbidity rate of syndrom and depressive disorder was 23.72%, and the comorbidity rate of diabetes and depressive disorder was the highest (52.32%). The comorbidity rate of syndromes with depressive disorder was 70.49%, which was significantly higher than that of depressive disorder There are 2 kinds, 1 kinds and no metabolic diseases (P <0.05). Conclusion: The incidence and development of MS and depression in the elderly are relatively stable within 3 years.