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慢性阻塞性肺疾病与抑郁症在阻塞性肺水平方面的分析

COPD and Depression Analysis in Regard to Obstructive Pulmonary Levels.

作者信息

Jelić Ivana, Mihajlović Goran, Mihajlović Filip, Minić Nataša, Ratinac Miloš, Pantović-Stefanović Maja

机构信息

Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

Clinic of Psychiatry, University Clinical Center Kragujevac, 34000 Kragujevac, Serbia.

出版信息

Healthcare (Basel). 2023 Apr 19;11(8):1175. doi: 10.3390/healthcare11081175.

Abstract

Depression symptoms take place recurrently in patients suffering from COPD. This study aims to assess the effects of antidepressant therapy in patients with COPD and a depressive disorder in relation to COPD levels. The study population consisted of N = 87 patients diagnosed with COPD, according to the GOLD criteria, and a depressive disorder. All of the patients were subjected to clinical and psychiatric exploration according to psychiatric assessment instruments, which was followed by SSRI therapy for the duration of 8 weeks. The main methods used were descriptive statistics and analysis of variance. The results showed a different distribution of depressive symptoms at a different stage of COPD by FEV1 (χ = 30.47, df = 6, < 0.01) and by mMRC (χ = 34.6, df = 6, < 0.01). After the application of SSRIs, there was a significant improvement in HDRS scores in all stages of COPD by FEV1 (χ = 251.62, df = 9, < 0.01) and by mMRC (χ = 919.17, df = 9, < 0.01). This study contributes to the improvement in the quality of life of patients by the targeted application of SSRI therapy and, therefore, more precise and better overall treatment results.

摘要

慢性阻塞性肺疾病(COPD)患者会反复出现抑郁症状。本研究旨在评估抗抑郁治疗对患有COPD且伴有抑郁障碍患者的影响,并探讨其与COPD严重程度的关系。研究对象包括87例根据慢性阻塞性肺疾病全球倡议(GOLD)标准确诊为COPD且伴有抑郁障碍的患者。所有患者均按照精神科评估工具进行临床和精神科检查,随后接受为期8周的选择性5-羟色胺再摄取抑制剂(SSRI)治疗。主要使用的方法为描述性统计和方差分析。结果显示,根据第1秒用力呼气容积(FEV1)(χ = 30.47,自由度 = 6,P < 0.01)和改良英国医学研究委员会(mMRC)呼吸困难量表(χ = 34.6,自由度 = 6,P < 0.01),COPD不同阶段的抑郁症状分布存在差异。应用SSRI后,根据FEV1(χ = 251.62,自由度 = 9,P < 0.01)和mMRC(χ = 919.17,自由度 = 9,P < 0.01),COPD各阶段的汉密尔顿抑郁量表(HDRS)评分均有显著改善。本研究通过有针对性地应用SSRI治疗,有助于提高患者的生活质量,从而获得更精确、更好的整体治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3b/10138090/fad8336c59b4/healthcare-11-01175-g001.jpg

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