年龄相关性黄斑变性患者认知功能和抑郁状态的临床分析
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Clinical analysis of cognitive function and depressive states in patients with age-related macular degeneration
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    摘要:

    目的:比较年龄相关性黄斑变性(age-related macular degeneration,AMD)组和对照组患者认知障碍和抑郁症的风险差异。

    方法:采用前瞻性病例对照研究,分别记录2014-11/2016-08来院就诊的AMD患者和性别匹配的对照组患者简易精神状态检查表(minimum mental state examination,MMSE)和老年抑郁量表(the geriatric depression scale,GDS)得分,并行统计学分析。

    结果:AMD组和对照组患者共84例168眼纳入研究。基线资料比较,最佳矫正视力(best corrected visual acuity,BCVA)差异有统计学意义(F=8.953,P=0.004)。相同受教育情况两组MMSE得分差异均无统计学意义(P>0.05); 总体认知障碍患病率比较,差异有统计学意义(χ2=4.14,P=0.042)。两组患者GDS得分差异有统计学意义(F=5.852,P=0.018); 抑郁总患病率及轻度抑郁患病率差异有统计学意义(χ2=6.372,P=0.012; χ2=5.674,P=0.017); 中重度抑郁患病率差异无统计学意义(χ2=0.672,P=0.412)。

    结论:AMD患者具有更高的抑郁症患病率,虽然基于受教育程度的分组MMSE得分差异不具有统计学意义,但总体较对照组更易患认知障碍。

    Abstract:

    AIM: To investigate the difference of cognitive impairment and depression between age-related macular degeneration(AMD)group and the control group patients.

    METHODS: A prospective case-control study was performed from November 2014 to August 2016 in the hospital for AMD patients and sex-matched control group. The Mini-Mental State Examination(MMSE)and the Geriatric Depression Scale(GDS)score of each patient were collected for statistical analyzing.

    RESULTS: There were total 84 cases(168 eyes)included in the study. The difference of visual acuity between the two group was statistically significant(F=8.953, P=0.004)by baseline data analyzing. There were no significant differences in MMSE scores between the two groups according to educational status(P>0.05), while the prevalence of cognitive impairment in each group was statistically significant(χ2=4.14, P=0.042). The difference of GDS scores, prevalence of total and mild depression between two groups were both statistically significant(F=5.852, P=0.018; χ2=6.372, P=0.012; χ2=5.674, P=0.017). However, there was no statistically significant difference in the prevalence of moderate to severe depression(χ2=0.672, P=0.412).

    CONCLUSION: AMD patients have a higher prevalence of depression. Although MMSE score differences were not statistically significant in subgroup analysis by educational levels, AMD patients are more likely to have cognitive impairment overall.

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李娜,胥云霞,严欣.年龄相关性黄斑变性患者认知功能和抑郁状态的临床分析.国际眼科杂志, 2017,17(10):1905-1907.

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  • 收稿日期:2017-06-14
  • 最后修改日期:2017-09-06
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  • 在线发布日期: 2017-09-18
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