冠心病患者心理因素与冠状动脉病变严重程度相关  

Correlation between psychological factors and degree of coronary artery disease in patients with coronary heart disease

作　　者：王海涛[1] 李薇[1] 石奇松[1] 刘奕[1] 胡磊[1] 马翠[1] 

机构地区：[1]保定市第二医院心内科,河北保定071051

出　　处：《心脏杂志》2012年第6期732-734,共3页Chinese Heart Journal

摘　　要：目的:观察冠心病患者的心理因素与冠状动脉病变程度的相关性。方法:收集我院住院冠心病患者434例,分为伴有焦虑抑郁症组(A组)162例,不伴有焦虑抑郁症组(B组)272例,对两组患者的临床表现及冠状动脉造影结果进行对照研究。结果:伴有抑郁或焦虑等心理障碍的冠心病患者(A组),心悸、乏力、失眠、烦躁等临床症状表现和冠状动脉病变程度都高于不伴有心理障碍的冠心病患者(B组),统计学有显著性差异(P<0.05)。冠心病患者的心理障碍因素与冠状动脉病变程度正相关,统计学有显著性(P<0.01),抑郁症更甚于焦虑症。结论:冠心病患者心理因素与冠状动脉病变程度有相关性。To analyze the relationship between psychological factors and coronary heart disease（CHD）.METHODS： Four hundred and thirty-four patients with CHD were recruited from our hospital and divided into two groups： 162 cases with anxiety and depression（Group A） and 272 cases without anxiety and depression（Group B）.A comparative study of their clinical manifestations and coronary artery angiography was performed between groups.RESULTS： Higher degrees of anxiety,palpitations,fatigue,insomnia,irritability and more severe coronary artery lesions were found in Group A compared with those in Group B,with statistical difference（P0.05）.Psychological factors in patients with CHD were positively correlated with the extent and severity of CHD（P0.01）.Among the psychological factors,depression had a worse effect than anxiety in regard to coronary artery diseases.CONCLUSION： Psychological factors are associated with the severity of coronary artery lesions in patients with CHD.

关 键 词：冠状动脉疾病 心理因素 焦虑 抑郁 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]