体检人群睡眠质量、焦虑抑郁状态与代谢综合征的相关性研究

发布时间：2018-04-14 12:11

本文选题：睡眠质量 + 抑郁状态　；参考：《中国人民解放军医学院》2016年硕士论文

【摘要】：目的：研究体检人群代谢综合征的患病情况,以及焦虑状态、抑郁状态、睡眠质量的基本情况，，分析焦虑、抑郁状态与睡眠质量之间的关系并探讨其与代谢综合征上的联系及影响。方法：采用Zung氏焦虑抑郁自评量表(SAS/SDS)及匹兹堡睡眠质量指数(PSQI)量表对2014年7月至2015年7月入院的住院体检者(年龄18岁至80岁)进行调查,共938例,收集患者病史资料,并行相关生化指标检查,将数据整理进行统计学分析。结果：1.代谢综合征的患病率为23.1%,焦虑阳性16.4%,抑郁阳性25.7%睡眠质量不良44.9%; 2.SAS、SDS、PSQI量表得分高度相关(P0.05),72.7%焦虑状态患者伴有睡眠质量不良，70.1%抑郁状态患者中伴有睡眠质量不良;3.女性焦虑状态、抑郁状态、睡眠不良阳性检出率均高于男性,差异具有统计学意义(P0.05),老年男性抑郁状态阳性率较青年、中年高,差异具有统计学意义(P0.05),但焦虑状态阳性率差异无统计学意义(P0.05),青年男女睡眠质量差异无统计学意义(P0.05),中年女性睡眠质量不良的风险是男性的1.5倍,老年女性睡眠质量不良是男性的1.92倍,差异有统计学意义(P0.05);4.女性伴有焦虑、抑郁状态较不伴有者MS患病率高,差异有统计学意义(P0.05),男性伴与不伴焦虑、抑郁状态MS患病率差异无明显统计学意义(P0.05)。结论：1.体检人群中代谢综合征患病率高,焦虑、抑郁以及睡眠质量问题普遍,应引起临床医师重视;2.焦虑、抑郁、睡眠质量高度相关,大多数焦虑、抑郁人群伴有睡眠质量不良;3.女性较男性更易出现焦虑、抑郁以及睡眠问题,与焦虑相比,男性更易受到抑郁的干扰,年龄对睡眠的影响是存在性别差异的,女性睡眠质量受年龄的影响更大;4.女性伴有焦虑、抑郁能增加MS患病率。
[Abstract]:Objective: to study the prevalence of metabolic syndrome and the basic condition of anxiety, depression and sleep quality, and to analyze anxiety.The relationship between depression and sleep quality and its relationship with metabolic syndrome.Methods: a total of 938 hospitalized patients (aged from 18 to 80 years old) admitted to hospital from July 2014 to July 2015 were investigated with Zung's Self-Rating anxiety and Depression scale (SAS / SDSs) and Pittsburgh Sleep quality Index (PSQI).The related biochemical indexes were checked in parallel, and the data were analyzed statistically.The result is 1: 1.The prevalence of metabolic syndrome was 23.1m, anxiety was 16.4m, depression was 25.7%, poor sleep quality was 44.9%, and the score of PSQI was highly correlated with 72.7% of anxiety patients with poor sleep quality and 70.1% of depression patients with poor sleep quality.The positive rates of anxiety, depression and poor sleep in women were higher than those in men, and the difference was statistically significant (P 0.05). The positive rate of depression in old men was higher than that in youth and middle age.The difference was statistically significant (P 0.05), but there was no significant difference in the positive rate of anxiety. There was no significant difference in sleep quality between young men and women (P 0.05). The risk of poor sleep quality in middle-aged women was 1.5 times higher than that in men.The poor quality of sleep in elderly women was 1.92 times higher than that in men, and the difference was statistically significant (P 0.05).The prevalence rate of MS in female patients with anxiety and depression was higher than that in patients without depression (P 0.05). There was no significant difference between male patients with and without anxiety (P 0.05).Conclusion 1.The prevalence of metabolic syndrome is high, anxiety, depression and sleep quality problems are common in physical examination population, which should be paid more attention to by clinicians.Anxiety, depression, sleep quality is highly correlated, most anxiety, depression accompanied by poor sleep quality.Women are more likely to have anxiety, depression and sleep problems than men. Compared with anxiety, men are more likely to be disturbed by depression. The influence of age on sleep is gender different, and female sleep quality is more affected by age.Women with anxiety and depression can increase the prevalence of MS.
【学位授予单位】：中国人民解放军医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R589

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