冠心病合并焦虑障碍与冠状动脉狭窄严重程度的相关研究  

Correlation between Anxiety and the Severity of Coronary Artery Stenosis in Patients with Coronary Heart Disease

作　　者：赵波[1] 赵云峰[1] 刘琨[1] 杨庆祥[1] 

机构地区：[1]连云港市第一人民医院心内科,江苏连云港222002

出　　处：《医学综述》2011年第24期3814-3815,共2页Medical Recapitulate

摘　　要：目的探讨冠心病合并焦虑障碍患者焦虑评分与冠状动脉狭窄严重程度的关系。方法 126例冠心病患者采用zung焦虑自评量表(SAS)测试评分,分为焦虑组和非焦虑组,并行冠状动脉造影检查,对冠状动脉病变狭窄程度进行Leaman评分,分析SAS评分与Leaman冠状动脉病变评分(LCAS)的关系。结果冠心病患者无焦虑组61例,焦虑组65例(轻度焦虑27例中度15例,重度23例),焦虑组Leaman冠状动脉病变评分为(9.38±3.74)分,与无焦虑组比较明显增高(P<0.01),SAS评分与Leaman冠状动脉病变评分呈正相关(r=0.789,P<0.01)。结论冠心病患者存在不同程度的焦虑,焦虑障碍程度与冠状动脉病变狭窄程度呈正相关,可根据SAS评分评定冠心病患者焦虑障碍状况,采取综合性干预治疗。Objective To explore the correlation between anxiety and the severity of coronary artery stenosis in patients with coronary disease. Methods 126 patients with coronary heart disease underwent coronary angiography were evaluated with Self-rating Anxiety Scale（SAS）. They were divided into anxiety group and non-anxiety group . The relationship between the SAS score and the Leaman coronary artery score （LCAS）was assessed. Results The non-anxiety group was 61 cases,and the anxiety group was 65 cases （ mild 27 cases, moderate 15 cases, severe 23 cases）. The LCAS （9.38 ± 3.74） in the anxiety group was significantly higher（P 〈0.01 ） ,and it had significantly positive correlation to the SAS score（r =0. 789,P 〈 0.01 ）. Conclusion There are high frequencies of anxiety of different degrees in patients with coronary heart disease, and the anxiety degree is positively correlated with the degree of coronary stenosis. The SAS score may be assessed in order to guide the psychological nursing and treatment for the patients.

关 键 词：冠心病 焦虑症 冠状动脉造影术 

分 类 号：R541.4[医药卫生—心血管疾病]