拟新装与更换起搏器患者躯体化症状和焦虑及抑郁状态的调查分析  

Investigation and analysis of somatic symptom disorder,anxiety and depression in patients with pacemaker implantation and replacement procedure

作　　者：陈柄旭 聂鹏[1] 幺天保[1] 姜萌[1] 毛家亮[1] 卜军[1] CHEN Bing-xu;NIE Peng;YAO Tian-bao;JIANG Meng;MAO Jia-liang;BU Jun Renji(Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中国心脏起搏与心电生理杂志》2021年第4期301-304,共4页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金：国家自然科学基金(81470391)。

摘　　要：目的调查拟新装起搏器患者与更换起搏器患者的躯体化症状、焦虑及抑郁状态并进行分析.方法连续调查2017年3~8月拟行起搏器植入术患者共计101例,其中更换起搏器患者41例为更换组,新装起搏器患者70例为新装组.采用躯体化症状自评量表、广泛性焦虑障碍量表及病人健康问卷抑郁自评量表对患者进行心理测评,比较更换组及新装组躯体化症状及焦虑、抑郁状态的患病情况.结果新装组躯体化症状阳性率高于更换组(27.1%vs9.8%,P=0.029);新装组患者抑郁状态阳性率高于更换组患者(22.9%vs4.9%,P=0.013),新装组双腔亚组患者躯体化症状阳性率高于更换组双腔亚组(25.0%vs 10.0%,P=0.036);新装组患者睡眠问题、疲劳乏力、兴趣减退、胸闷不适、多思多虑、注意力下降、皮肤瘙痒等躯体化症状均高于更换组[分别为68.6%vs 19.5%,67.1%vs39.0%,41.4%vs12.2%,72.9%vs31.7%,50.0%vs19.5%,55.7%vs22.0%,51.4%vs14.6%(P均<0.05)].结论拟新装起搏器患者的躯体化症状及抑郁阳性率高于拟更换起搏器患者.Objective To investigate and analyze the somatic symptom disorder,anxiety and depression of patients with pacemaker implantation and patients with pacemaker replacement.Methods A total of 101 patients undergoing pacemaker procedure admitted to the Department of Cardiology from March to August in 2017 were continuously investigated.Of them 41 patients with pacemaker replacement were selected as the replacement(PR)group.A total of 70 patients with new pacemaker implantation were selected as pacemaker implantation(PI)group.Self-rating somatic symptom scale,generalized anxiety disorder-7 and the patient health questionnaire-9 were used.Psychological evaluation was performed on patients to compare the prevalence of somatic symptom disorder,anxiety,and depression between the two groups.Results The prevalence of somatic symptom disorder in PI group was higher than that in PR group(27.1%vs 9.8%,P=0.029);the prevalence of depression in PI group was higher than that in PR group(22.9%vs 4.9%,P=0.013).The prevalence of somatic symptom disorder in the newly installed dual-chamber pacemaker group was higher than that in the replacement group(25.0%vs 10.0%,P=0.036).Somatic symptoms such as sleep problems,fatigue,loss of interest,chest discomfort,over-thought,decreased attention,skin itching in PI group was higher than those in PR group(68.6%vs 19.5%,67.1%vs 39.0%,41.4%vs 12.2%,72.9%vs 31.7%,50.0%vs 19.5%,55.7%vs 22.0%,51.4%vs 14.6%,all P<0.05).Conclusion The prevalence of somatic symptom disorder and depression in PI group is higher than those in PR group.

关 键 词：心血管病学 躯体化症状 焦虑状态 抑郁状态 起搏器新装 起搏器更换 

分 类 号：R318.11[医药卫生—生物医学工程]