焦虑抑郁情绪对AMI临床及心电图影响的研究  

The effect of anxiety and depression on AMI of clinical and ECG

作　　者：戚厚兴[1] 王微[1] 张作记[2] 赵家琦[1] 朱耿鸾[1] 陆红[3] 贾传鲁 王凤菊[1] 张海玲[1] 

机构地区：[1]济宁医学院附属医院,山东济宁272029 [2]济宁医学院行为医学研究室,山东济宁272029 [3]济宁市第一人民医院 [4]兖矿东滩医院,山东济宁272029

出　　处：《中国行为医学科学》2001年第3期204-205,共2页Chinese Journal of Behavioral Medical Science

基　　金：山东省卫生厅资助课题

摘　　要：目的　探讨焦虑、抑郁情绪对AMI临床及心电图的影响。方法　对 12 5例AMI患者分别进行SAS、SDS测定 ,按有无焦虑、抑郁分组 ,对其院内的临床及心电图进行分析。结果　显示 37.6 %、44 .8%的病例分别存在焦虑、抑郁情绪 ,且焦虑、抑郁者VT Vf及 /或SCD、梗死后心绞痛、再梗死的发生率显著高于无焦虑、抑郁情绪者 (P <0 .0 5 )。而AMI发病年龄、性别、梗死部位、血清酶谱及非SCD死亡 ,无显著性差异 (P >0 .0 5 )。结论　AMI病例发生焦虑、抑郁情绪 ,是引发冠脉事件、SCD的主要危险因素 。Objective To investigate the effect of anxiety and depression on AMI of clinical and ECG. Methods 125 patients with AMI respectively were examined by SAS and self rating depressive scale (SDS). All patients were divided two groups on with or unwith anxiety and depression. Results 37.6% AMI with anxiety and 44.8% AMI with depression were more frequent than those other AMI in VTVF, SCD, posthumous angina and recurring infarct (P<0.05). All patients were not difference in age, sex, infarct location and serum enzyme (P>0.05). Conclusion The AMI patients, who suffer from anxiety and depression, are the main factor that cause the coronal disease、SCD and gravely affect the disease process and the life quality.

关 键 词：焦虑 抑郁 AMI 心电图 

分 类 号：R395.1[哲学宗教—心理学]