重症肌无力合并抑郁78例相关因素分析

    Study of incidence and correlation factors of depression in patients with myasthenia gravis

    • 摘要: 目的:探讨重症肌无力(myasthenia gravis,MG)合并抑郁的特点及其相关因素。方法:对78例MG患者采用汉密顿抑郁量表、MG日常生活能力量表及自制一般情况调查表进行测查并对各因素进行相关统计分析。结果:MG患者合并抑郁的发生率为60.3%,其中轻度抑郁44.7%,中度抑郁34.0%,重度抑郁21.3%,其抑郁情绪主要表现为焦虑/躯体化、 阻滞、绝望及睡眠障碍等。MG合并抑郁相关因素为性别(OR=1.198)、日常生活能力量表评分(OR=2.213)和溴吡斯的明使用量(OR=1.997)。结论:MG患者抑郁发生率较高,MG合并抑郁状态是多种因素共同作用所致。

       

      Abstract: Objective:To investigate the incidence rate and correlation factors of depression in patients with myasthenia gravis(MG).Methods:Seventy-eight MG patients were assessed and graded with Hamilton Depression Rating scale,activities of daily living and self-designed register form.The correlation factors were analyzed by logistic regression.Results:The overall incidence rate was 60.3%.The minor,moderate and major incidence was 44.7%,34.0% and 21.3% respectively.The main manifestations of depression were anxiety/body,retardation,hopelessness and insomnia.The regression analysis showed that factors accounted for the occurrence of MG with depression were gender,score of activities of daily living and pyridostigmine bromide dose.Conclusions:The incidence of depression was high in MG patients.Depression with MG had a multifactorial etiology.

       

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