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表 1 29例SAPHO综合征患者心理疾病状况
心理疾病 人数(n) 比例(%) 抑郁障碍 16 55.2 复发性抑郁障碍 3 10.3 现患抑郁障碍 9 31.0 既往抑郁障碍 10 34.5 伴忧抑郁特征 3 10.3 伴自杀观念 2 6.9 焦虑障碍 5 17.2 现患惊恐障碍 1 3.4 广场恐惧症 2 6.9 社交恐惧症 1 3.4 强迫性障碍 1 3.4 广泛性焦虑障碍 2 6.9 双相情感障碍 3 10.3 既往轻躁狂 3 10.3 现患躁狂/轻躁狂 0 0 既往躁狂 0 0 任何一种精神障碍 18 62.1 ≥2种精神障碍 8 27.6 表 2 29例SAPHO综合征患者人口学资料及临床特点
项目 MDD组(n)=16 非MDD组(n)=13 p值 性别[n(%)] 0.006# 男 5(31.3) 9(69.2) 女 11(68.7) 4(30.8) 年龄(x±s, 岁) 49±9 40±14 0.045# 婚姻状况[n(%)] 0.344# 已婚 12(75.0) 10(76.9) 未婚 0(0) 2(15.4) 丧偶或离异 1(6.3) 0(0) 未回答 3(18.7) 1(7.7) 居住情况[n(%)] 0.483# 独居 2(12.5) 1(7.7) 与父母同住 2(12.5) 4(30.8) 与配偶同住 8(50.0) 5(38.5) 未回答 4(25.0) 3(23.1) 病程[M(Q), 月] 17(1~156) 11(2~85) 0.577† 起病年龄(x±s, 岁) 45±9 34±13 0.012* 首发病状(皮疹与关节症状出现的先后顺序)[n(%)] 0.027# 皮疹在前 5(31.3) 9(69.2) 同时出现 7(43.7) 1(7.7) 皮疹在后 4(25.0) 1(7.7) 无皮疹 0(0) 1(7.7) 未回答 - 1(7.7) #Fisher精确概率法分析;*独立样本t检验; 非参数检验; MDD:垂性抑郁障碍 表 3 29例SAPHO综合征患者合并MDD危险因素多因素分析
变量 B值 SE值 Wald值 p值 Exp(B) 年龄 -0.029 0.019 0.069 0.793 0.0972 起病年龄 0.179 0.127 1.964 0.161 1.195 首发病状(皮疹与关节症状出现的先后顺序) 1.40 0.708 3.909 0.048 4.055 常量 -6.663 2.857 5.439 0.020 0.001 MDD:同表 2 -
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