摘要 目的 探讨老年慢性疼痛病人初诊时焦虑抑郁状况，并对相关影响因素进行分析，为相关干预措施的制定提供参考。 方法 采用一般资料调查表、视觉模拟评分法(VAS)、焦虑自评量表及抑郁自评量表对2017年1—8月于我院疼痛科住院的219例病人进行调查分析。 结果 219例病人中抑郁者65例(29.7%)，焦虑者78例(35.6%)，同时患有焦虑和抑郁者48例(21.9%)，病人焦虑和抑郁状态呈正相关关系（r=0.51，P＜0.05)。多因素Logistic回归分析显示，年龄70~79和≥80岁者(OR=0.51，95%CI=0.16～0.92，P＜0.05，OR=0.58，95%CI=0.13～0.75，P＜0.05)、已婚者(OR=0.59，95%CI=0.13～0.81，P＜0.05)、最近1个月未发生睡眠障者(OR=0.42，95%CI=0.09～0.91，P＜0.05)较少出现抑郁状态，而BMI＞28 kg/m2者(OR=1.43，95%CI=1.03～2.83，P＜0.05)、VAS＞7分者(OR=3.40，95%CI=1.06～9.57，P＜0.05)、疼痛史1~3和>3年者(OR=3.73，95%CI=1.24～11.99，P＜0.05；OR=3.29，95%CI=1.06～12.47，P＜0.05)更容易出现抑郁状态。已婚者(OR=0.78，95%CI=0.13～0.91，P＜0.05)、最近1个月未发生睡眠障者(OR=0.24，95%CI=0.03～0.84，P＜0.05)较少出现焦虑状态，而VAS＞7分者(OR=2.30，95%CI=1.06～6.57，P＜0.05)、疼痛分组为复杂性疼痛者(OR=2.41，95%CI=1.31～7.51，P＜0.05)、疼痛史1~3和>3年者(OR=2.73，95%CI=1.24～5.99，P＜0.05，OR=2.29，95%CI=1.06～6.47，P＜0.05)更容易出现焦虑状态。 结论 老年慢性疼痛病人易伴发焦虑、抑郁症状，医师在临床诊疗时需关注这些易导致焦虑、抑郁的因素，治疗慢性疼痛的同时应对病人予以心理或药物干预，以更好控制疼痛。 Abstract：Objective To investigate anxiety and depression in elderly patients with chronic pain at initial diagnosis and related influencing factors, and to provide a reference for developing related intervention measures. Methods A total of 219 patients who were hospitalized in Department of Pain Management in our hospital from January to August, 2017 were enrolled, and a general information questionnaire, Visual Analogue Scale (VAS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used for investigation and analysis. Results Among the 219 patients, 65(29.7%) had depression, 78(35.6%) had anxiety, and 48(21.9%) had both depression and anxiety; anxiety was positively correlated with depression in these patients (r=0.51,P<0.05). The multivariate logistic regression analysis showed that the patients with an age of 70-79, and ≥80 years (OR=0.51,95%CI=0.16-0.92,P<0.05;OR=0.58,95%CI=0.13-0.75,P<0.05), who were married (OR=0.59,95%CI=0.13-0.81,P<0.05), or who did not experience sleep disorder within the past one month (OR=0.42,95%CI=0.09-0.91,P<0.05) had a lower risk of depression, while the patients with a body mass index of >28 kg/m2 (OR=1.43,95%CI=1.03-2.83,P<0.05), a VAS score of >7 (OR=3.40,95%CI=1.06-9.57,P<0.05), or a duration of pain of 1-3, and >3 year (OR=3.73,95%CI=1.24-11.99,P<0.05;OR=3.29,95%CI=1.06-12.47,P<0.05) were more likely to suffer from depression. The patients who were married (OR=0.78,95%CI=0.13-0.91,P<0.05) or who did not experience sleep disorder within the past one month (OR=0.24,95%CI=0.03-0.84,P<0.05) had a lower risk of anxiety, while the patients with a VAS score of >7 (OR=2.30,95%CI=1.06-6.57,P<0.05),
