维持性血液透析患者抑郁状态与MIA综合征各组分的关系

探讨血液透析患者抑郁的发生率及与营养不良、炎症、动脉粥样硬化的关系。采用Zung抑郁自评量表、改良主观全面营养评价法、颈动脉内中膜厚度（IMT）、hsCRP、血白蛋白、血红蛋白等对57例血液透析患者进行评估。根据SDS分值将患者分为抑郁纽和对照组，分别进行炎症、营养不良和动脉粥样硬化比较。抑郁组患者19例（33．3％）...

Relations of Depression and MIA Syndrome among Maintenance Hemodialysis Patients

To investigate the relations of depression and MIA syndrome among Hemodialysis patients. Fifty seven patients with ESRD were evaluated the depression status using Self--Rating Depression Scale, the nutrition status by Modified Subjective Global Assessment of Nutrition and the atherosclerosis by intima media thickness （IMT）. The biochemical parame- ters including hsCRP, Alb, Hb,SCr and BUN were measured in ESRD patients. The patients were divided into depression group and control group to compare with the level of hsCRP, malnutrition score, IMT and other biochemical parameters. Nineteen patients （ 33.3 % ）had depression. The mean values of hs--CRP, MS and IMT in the depression group were signif- icantly greater than those in control group. The levels of serum Alb and Hb were significantly lower than those in control group. The SDS scale showed a significant positive correlation with MS, hs--CRP and IMT. Depression is observed highly in MHD patients, which is related closely to malnutrition, inflammation and atherosclerosis. The MHD patients should be e valuated for depression status.