【摘要】 目的:调查老年冠状动脉粥样硬化性心脏病患者冠状动脉内支架置入后的心理状态及其对预后的影响。方法:选择2005-06/2007-06在广西医科大学第五附属医院心内科住院行冠状动脉造影后置入支架的患者86例,置入支架105枚。冠状动脉支架置入后以汉密顿焦虑量表、汉密顿抑郁量表及综合性医院焦虑、抑郁量表对86例患者进行心理状态调查,将合并焦虑抑郁的患者作为阳性组,其余为阴性组。随访1年,比较2组患者一般情况及冠状动脉支架置入后心血管事件发生的差异。结果:86例患者中阳性组47例,阴性组39例,冠状动脉支架置入后焦虑抑郁发生率为54.65%。2组在性格、教育程度低、低收入方面差异具有显著性意义(P<0.05)。阳性组随访12个月内再发心绞痛明显高于阴性组(P<0.05)。结论:老年冠状动脉粥样硬化性心脏病患者冠状动脉支架置入后焦虑抑郁发生率较高,应及时干预,以降低未来事件发生的危险。更多还原

【Abstract】 OBJECTIVE: To evaluate the psychological status and prognosis of senile patients with coronary heart disease (CHD) after coronary stenting (CS). METHOD: Totally 86 senile patients with CHD in the Department of Cardiovascular Internal Medicine, The Fifth Affiliated Hospital of Guangxi Medical University from June 2005 to June 2007 were selected. Hamilton anxiety scale, Hamilton depression scale and the self-completed HAD scale was performed to survey psychological status following CS. According to anxiety-depression state, patients with anxiety-depression state were served as the positive group, and the other was negative group. General condition and the occurrence of cardiovascular events after CS were compared in both groups after 1 year follow up. RESULTS: There were 47 patients in the positive group and 39 patients in the negative group, and the incident rate of anxiety-depression symptoms was 54.65% in the senile patients with CHD after CS. The correlative factors of anxiety-depression symptoms may be gender, educational degree, and financial problems (P < 005). The recurrence of angina pectoris of the positive group was higher than that of the negative control group (P < 005). CONCLUSION: There was high incident rate of anxiety-depression symptoms in the senile patients with CHD after CS, and early intervention should be strengthened to reduce the long-term risk of cardiovascular events.更多还原