摘要
目的研究慢性阻塞性肺疾病(COPD,慢阻肺)伴高血压病患者的特点及焦虑情绪发生的危险因素。方法选取COPD患者196例,其中COPD伴高血压病组104例,COPD组92例,应用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)评估两组患者焦虑情况,并将COPD伴高血压病患者分为焦虑组和非焦虑组,采集患者一般资料,包括性别、年龄、文化程度、BMI、吸烟史、COPD病程、急性加重次数、m MRC评分、肺功能分级、高血压分级。结果 COPD伴高血压病组和COPD组在性别、年龄等一般情况上的差异无统计学意义(P>0.05),而在m MRC评分、肺功能分级方面存在统计学差异(P<0.05);COPD伴高血压病患者发生焦虑的比例高于COPD患者(P<0.05);焦虑组与非焦虑组在性别、急性加重次数、m MRC评分、肺功能分级、高血压分级等方面存在差异(P<0.05)。结论 COPD患者高血压病的发生与呼吸困难程度、肺功能有着密切关系,同时发现COPD伴高血压病患者发生焦虑的比例更高,女性、急性加重次数增多、呼吸功能障碍、血压水平升高,是这类患者发生焦虑的危险因素。
Objective To study the characteristics of COPD patients complicated with hypertension and the risk factors of anxiety in these patients.Methods 196 patients with COPD were enrolled,including 104 patients in the COPD complicated with hypertension group and 92 cases in the COPD group.All the patients were measured with Hospital Anxiety and Depression Scale（ HADS）.The 104 COPD patients with hypertension were divided into the anxiety group and the non-anxiety group,and then their general information was collected,including gender,age,educational status,BMI,smoking history,course of disease,the number of acute exacerbation,m MRC,pulmonary function,and hypertension grade.Results There was not statistical difference in general information like gender,age and so on（ P〉0.05）,but there were obvious differences in m MRC and pulmonary function between the first two group（ P〈0.05）.The proportion of anxiety was high in COPD patients complicated with hypertension（ P〈0.05）.There were differences in gender,acute exacerbation,m MRC,pulmonary function and hypertension grade between the anxiety and non-anxiety groups（ P〈0.05）.Conclusion COPD patients are easily to develop hypertension,which is closely related to m MRC and pulmonary function.It is also found that COPD patients complicated with hypertension are more likely to show anxiety.Female,the increasing number of acute exacerbations,the destruction of respiratory function and the elevation of blood pressure are risk factors for anxiety in these patients.
作者
齐佳华
李丽蕊
李文爽
崔紫阳
宋龙霞
王红阳
QI Jia-hua;LI Li-rui;LI Wen-shuang;CUI Zi-yang;SONG Long-xia;WANG Hong-yang(College of Graduate school,North China University of Science and Technology,Tangshan,Hebei 063000,China)
出处
《临床肺科杂志》
2018年第10期1767-1771,共5页
Journal of Clinical Pulmonary Medicine
基金
河北省自然基金(No H2014209231)
关键词
慢性阻塞性肺疾病
高血压病
焦虑
chronic obstructive pulmonary disease （COPD）
hypertension
anxiety
