Depression and anxiety status of male adult patients with obstructive sleep apnea hypopnea syndrome and the influence of COVID-19
Objective To explore the depression and anxiety of male adults with obstructive sleep apnea Hypopnea syndrome(OSAHS)and the influence of normal epidemic prevention and control on them.Methods A selection of 249 patients who were hospitalized in the Second Affiliated Hospital of Zhengzhou University from March 2019 to August 2020.According to the sleep apnea-hypopnea index(AHI),patients were divided into control group,mild group,moderate group and severe group.The mild to moderate group and severe group are further divided into the pre epidemic group(March 2019 to November 2019)and the epidemic group(December 2019 to August 2020)based on the outbreak time of the epidemic.Patients age,body mass index(BMI),neck circumference,waist circumference,and hip circumference were collected.Using polysomnography(PSG)checking patient re-cords AHI,the lowest oxygen saturation(LSaO2),the average oxygen saturation(MSaO2),and the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores were completed.Results There was no significant difference in the age of the four groups of patients(P＞0.05).The differences in BMI,waist circumfer-ence,hip circumference and neck circumference of the four groups were statistically significant(P＜0.001).The indexes of the severe group were higher than those of the mild group and the moderate group.The difference be-tween the SDS and SAS standard scores of the four groups was statistically significant(P＜0.001).The SDSand SAS scores of the severe group were higher than those of the mild group and the moderate group.The scores of the epidemic prevention and control group in the mild to moderate and severe groups were higher than those of the pre epidemic group,and the difference was statistically significant(P＜0.001).The comorbidity rate of depression and anxiety in patients with severe OSAHS was higher than that of the mild to moderate group(P＜0.001).The AHI of OSAHS patients was positively correlated with SDS score and SAS score(r values were 0.387 and 0.305,respectively,P＜0.05).Conclusion The severity of the disease in male OSAHS patients may be related to their concurrent depression and anxiety.Compared with mild to moderate patients,male patients with severe OSAHS have a higher risk of depression and anxiety,and the risk is more prominent after the epidemic,which requires more clinical attention.The PSG monitoring indicator AHI shows a good correlation with the depression and anxiety scores of male OSAHS,which can reflect the depression and anxiety situation of patients to a certain extent.
NETL
NSTL
万方数据
