中老年胸痛患者伴抑郁和焦虑的调查  

Survey of depression and anxiety in middle and elderly patients with chest pain

作　　者：薛军[1] 王春玲[1] 韩占红[1] 张文静[2] 王明晓[1] 

机构地区：[1]北京煤炭总医院心脏中心,100028 [2]北京煤炭总医院病案室,100028

出　　处：《中华老年医学杂志》2012年第6期532-533,共2页Chinese Journal of Geriatrics

摘　　要：目的了解急诊科因胸痛就诊的中老年患者伴抑郁和焦虑的情况。方法2009年7—8月连续人选因胸痛或胸痛等同症状至急诊内科就诊的患者5666例，1200例患者获得有效记录而入选，应用抑郁自评量表和焦虑自评量表对患者进行评分。结果912例冠心病患者中383例（42．0％）伴随抑郁和（或）焦虑症状；288例非冠心病患者中58例（20．1％）伴随抑郁和（或）焦虑症状，两组差异有统计学意义（Х^2=44．98，P=0．002）。抑郁和焦虑作为冠心病的危险因素比值比（OR）为2．5（95％CI：1．0～5．0，P〈o．05）。结论冠心病患者中抑郁和焦虑患病率高，抑郁和焦虑是冠心病的独立危险因素。Objective To evaluate the prevalence of depression and anxiety in the middle and elderly patients with chest pain from department of emergency. Methods Totally 1200 patients suffering from chest pain were enrolled from July 2009 to August 2009. All patients were scored by self-rating depression scale （SDS） and self evaluation anxious scale （SAS）. Results 383 cases of 912 patients（42.0%） with coronary heart disease （CAD） and 58 of 288 patients （20.1%） without CAD had depression, with a statistically significant difference （Z2= 44.98, P = 0. 002）. Odds ratio （OR） for CAD in patients with depression was 2.5, with 95% confidence interval （CI） of 1.0-5.0 （P 〈0.05）. Conclusions There is high prevalence of depression and anxiety as independent risk factors for CAD.

关 键 词：抑郁 焦虑 胸痛 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]