抑郁焦虑对心血管症状和心脏室性期前收缩的影响  

Effects of Anxiety and Depression on Palpitations and Ventricular Premature Beat

作　　者：陆悠[1] 毛家亮[1] 何奔[1] 张彦周[1] 

机构地区：[1]上海交通大学医学院附属仁济医院心血管内科,上海200001

出　　处：《中国误诊学杂志》2009年第34期8320-8321,共2页Chinese Journal of Misdiagnostics

摘　　要：目的:研究抑郁焦虑对心血管症状和心脏室性期前收缩的影响。方法:选门诊行Holter检查的患者500例,测心理量表,据是否伴心悸等心血管症状分为心悸组和非心悸组。选心悸室性期前收缩伴焦虑抑郁患者50例作为治疗组,给予抗焦虑抑郁药物治疗,观察其对心悸和室性期前收缩的影响。结果:(1)心悸组与非心悸组室性期前收缩数无统计学差异(P>0.05);心悸组心理量表分值高于非心悸组(P<0.01)。(2)治疗组抗焦虑抑郁治疗后室性期前收缩减少(P<0.05),心理量表分值降低(P<0.01)。结论:(1)心悸与室性期前收缩无相关性,与抑郁焦虑状态相关;(2)抗焦虑抑郁药物改善抑郁焦虑状态同时可减少室性期前收缩,缓解症状。Objective：To explore the effects of anxiety and depression on palpitations and ventricular premature beat. Method： （1）500 patients who underwent Holter monitoring with cardiovascular diseases symptoms were divided into the palpitation group and non palpitation group. Their psychology were assessed though the psychological questionnaires. （2）50 patients who had ventricular premature beats （VPBs） and palpitations symptom with anxiety and depression were regarded as the treatment group,and received the therapy of SSRIs. The effects of anti-anxiety and anti-depression on palpitation and VPBs were observed. Results： （1）There were no differences of the number of VPB between the palpitation group and non-palpitation group（P）0.05）, but the palpitation group had higher scores than that of the non palpitation group（P all〈0.05）. （2）On the treatment group, anti-anxiety and anti-depression could reduce signifi- cantly VPBs （P〈0.05） and the scores of psychological questionnaires （P all〈0.01 ）. Conclusion ： （1）Palpitations are not related with VPB and do with anxiety and depression. （2）The SSRIs can not only alleviate anxiety and depression, but also relieve palpitations symptom and reduce the number of VPB.

关 键 词：焦虑/并发症 抑郁/并发症 心悸/并发症 室性早搏复合征/并发症 人类 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R256.21[医药卫生—临床医学]