摘要
目的观察终末期肾病(ESRD)血液透析干预期伴发抑郁的危险因素。方法纳入2013年6月~2017年6月于我院收治的150例ESRD血液透析患者为研究对象,进行回顾性分析。统计患者一般资料、病理学资料,按照血液透析干预期抑郁发生情况将其分为抑郁组与非抑郁组,采用多因素Logistic回归分析法分析ESRD血液透析干预期伴发抑郁的独立影响因素。结果150例患者血液透析干预期有48例发生抑郁,发生率为32.00%。多因素Logistic回归分析显示,家庭人均月收入、心脑血管并发症、内瘘手术次数、血红蛋白、血清白蛋白是ESRD血液透析干预期伴发抑郁的独立影响因素(P<0.05)。结论ESRD血液透析干预期易发抑郁,家庭人均月收入低、伴有心脑血管并发症、内瘘手术次数多及血红蛋白、血清白蛋白异常都促进了ESRD血液透析患者抑郁的发生。
Objectives In order to observe the risk factors of end-stage renal disease(ESRD)expected to accompany depression in hemodialysis patients.Methods 150 ESRD hemodialysis patients who were admitted to our hospital from June 2013 to June 2017 were enrolled in this study.The general data and pathological data of patients were divided into depression group and non depression group according to the expected depressive condition of hemodialysis dry,and the independent factors of the expected associated depression in ESRD hemodialysis dry were analyzed by multiple factor Logistic regression analysis.Results In150 patients,48 cases of hemodialysis were found to have depression,the incidence was 32%.Multivariate logistic regression analysis showed that family monthly income per capita,cardiovascular and cerebrovascular complications,the number of internal fistula operations,hemoglobin,and serum albumin were independent factors for the expected associated depression in ESRD hemodialysis dry(P<0.05).Conclusions ESRD hemodialysis is expected to be prone to depression,family per capita monthly income is low,complications of cardiovascular and cerebrovascular diseases,more times of internal fistula operation and abnormal hemoglobin and serum albumin promote the occurrence of depression in patients with ESRD hemodialysis.
作者
王林风
孙福海
柴晓培
王勇刚
张献朝
WANG Linfeng;SUN Fuhai;CHAI Xiaopei(Department of Nephrology and Rheumatology,First People's Hospital of Pingdingshan City,Henan Province,Pingdingshan,467000)
出处
《国际精神病学杂志》
2020年第1期133-137,共5页
Journal Of International Psychiatry
关键词
终末期肾病
血液透析
抑郁
危险因素
End stage renal disease
Hemodialysis
Depression
Risk factors
