冠状动脉介入手术对老年冠心病患者心理状态的影响  

Psychological Testing of Senile Patients with Coronary Heart Disease before and after Interventional Operation

作　　者：侯允天[1] 李晓英[1] 邓晓东[2] 荆娜[3] 祝卓宏[1] 

机构地区：[1]解放军总医院老年心血管病研究所,北京100853 [2]山东昌邑市人民医院 [3]国防大学医院

出　　处：《中国误诊学杂志》2007年第21期4952-4953,共2页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨老年冠心病患者行冠状动脉介入手术前后的心理变化。方法:采用汉密顿焦虑、抑郁量表进行心理状态评分,观察焦虑和抑郁是否随血运重建而改善。结果:对108例冠状动脉介入手术成功老年患者进行心理状态评分,应答率为100%。术前63例患焦虑,其中33例处于焦虑状态(30.6%);30例肯定焦虑(27.8%),占总调查人数的58.3%。42例患抑郁,21例处于抑郁状态(19.4%),21例肯定抑郁(19.4%),占总调查人数的38.9%。出院时,58例仍有焦虑,32例处于焦虑状态(29.6%);26例肯定焦虑(24.1%),占总调查人数的53.7%。45例患抑郁,22例处于抑郁状态(20.4%),23例肯定抑郁(21.3%),占总调查人数的41.7%。结论:成功的介入手术并不能明显改善老年冠心病患者的焦虑和抑郁。Objective .. To observe the changing of anxiety or/and depression, before and after coronary interventional operation. Methods：Scoring the mental state with Hamilton Anxiety/Depression Scale. Results ：Of 108 senile patients with successful coronary interventional operation, 63 （58.3%） being anxiety, 42 （38. 9%） being depression at admission. Of 108 patients, 58 （53.7%） being anxiety still, and 45 （41.7%） being depression also at discharge. Conclusion ：Anxiety and depression of senile patients with coronary heart disease were not improved by successful coronary interventional operation.

关 键 词：血管成形术 经腔 经皮冠状动脉/心理学 冠状动脉疾病/治疗/心理学 焦虑 抑郁 人类 老年人 

分 类 号：R541.4[医药卫生—心血管疾病]