目的 评价进行血液透析和腹膜透析治疗的尿毒症患 者抑郁症的发病情况。方法 采用汉密尔顿抑郁量表(HAMD)对40例血液 透析患者和36例腹膜透析患者评估，比较评分的差异，同时比较程度的差异。结果 血液透析组的抑郁症发生率(80%)明显高于腹膜透析组(69%)，重度患者的百分比(25%)也高于腹膜透析组(12%)。结论 血液透析在治疗尿毒症的同时可以产生躯体症状，加重患者心理障碍。

Objective To evaluate the incidence of depress in hemodia lysis and peritoneal dialysis uremia patients. Methods Forty hemodialysis and 36 peritoneal dialysis pati ents were measured by HAMD, compared the HAMD marks between two groups. Results The incidence of depress in hemodialysis (80%) was significantly higher than that in the peritoneal group(69%), the severe depress rate was the same(25% vs 12%). Conclusions Hemodialysis can cause somatic symptom and wor sen psychologic obstacle, meanwhile treating uremia.