急性冠脉综合征患者焦虑抑郁情绪的发生与影响因素分析  

Influencing factors of anxiety and depression among patients with acute coronary syndrome

作　　者：吴勤[1] 刘文娴[1] 赵晗[1] 陈立颖[1] 

机构地区：[1]首都医科大学附属北京安贞医院,北京100029

出　　处：《山东医药》2012年第4期27-29,共3页Shandong Medical Journal

摘　　要：目的探讨急性冠脉综合征(ACS)患者焦虑抑郁发生情况及相关影响因素。方法连续入选2011年1～11月在我院心内科住院的ACS患者236例,采用综合医院焦虑抑郁评分量表对所有患者行心理测评,评价焦虑、抑郁及焦虑抑郁共病的发生率,对年龄、性别、体质量指数、文化程度、医保类型、合并其他疾病及ACS并发症等影响因素进行分析,得出焦虑抑郁及共病发生的影响因素。结果 236例ACS患者中,焦虑及抑郁的发生率分别33.5%和32.2%,焦虑抑郁共病发生率22%。Logistic回归分析发现,女性、初中及以下学历和射血分数<50%是焦虑、抑郁的重要影响因素(P<0.05);合并糖尿病和体质量指数<24 kg/m2对抑郁影响更显著(P<0.05);女性、自费和射血分数<50%患者更容易同时并存焦虑抑郁情绪(P<0.05)。结论 ACS后并发焦虑抑郁情绪,为多种影响因素共同作用结果,对于此类患者,应引起临床医师重视,尽早给予心理干预。Objective To investigate prevalences and influential factors of anxiety and depression in patients with acute coronary syndrome（ACS）.Methods We collected 236 patients with ACS that admitted in our hospital from January to November of 2011.All the subjects were assessed with Hospital Anxiety and Depression Scale to evaluate the incidences of anxiety,depression and comorbidity of anxiety and depression.Comparative analysis influencing factors such as age,gender,body mass index,educational level,type of health insurance,other diseases and complications of ACS etc.Results Of all the subjects,79（33.5%） were identifed as anxiety,76（32.2%） as depression.The rate of the comorbidity of anxiety and depression was 22.0%.Multivariate logistic regression analysis showed female,education level,ejection fraction50% were the major influences of anxiety and depression in the patients with ACS（P〈0.05）;Diabetes mellitus and body mass index24 kg/m^2 were impact factors on depression visibly（P〈0.05）;The patients who were female,at their own expenses and ejection fraction50% were prone to have comorbidity of anxiety and depression（P〈0.05）.Conclusion There existed high prevalence of anxiety and depression disorders with ACS and more importance should be paid on the phenomenon.

关 键 词：急性冠脉综合征 焦虑 抑郁 焦虑抑郁共病 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]