急性心肌梗死急诊冠状动脉介入术后患者躯体化症状及焦虑抑郁的状态分析  

Analysis on Somatization Symptoms and Anxiety and Depression Status in Patients with Acute Myocardial Infarction Following Emergency Percutaneous Coronary Intervention

作　　者：徐凤 卢辉[1] 祁燕[1] Xu Feng;Lu Hui;Qi Yan(Cardiovascular Department Intensive Care Unit,the First Division Hospital of Xinjiang Production and Construction Corps,Akesu 843000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆生产建设兵团第一师医院心血管病科监护病房,新疆阿克苏843000

出　　处：《中国社区医师》2022年第3期34-36,共3页Chinese Community Doctors

摘　　要：目的:研究急性心肌梗死急诊冠状动脉介入术(PCI)后患者的躯体化症状、焦虑及抑郁状态。方法:2020年1月-2021年5月收治急性心肌梗死患者180例;其中急诊冠状动脉介入术(PCI)组120例,作为试验组;非急诊冠脉介入术组60例,作为对照组。采用躯体化症状自评量表、广泛性焦虑障碍量表及健康问卷抑郁自评量表对两组患者进行心理测评。比较两组患者躯体化症状及焦虑抑郁状态发生率。结果:试验组术后躯体化症状阳性率及焦虑发生率均高于对照组,差异有统计学意义(P<0.05)。试验组患者前三位躯体化症状分别为疲劳乏力、精力减退(65.83%),神经系统症状(63.33%)及睡眠问题(60.00%)。女性、年龄、收缩压是躯体化症状的独立影响因素(P<0.05)。结论:急性心肌梗死急诊PCI术后患者的躯体化症状明显高于非急诊PCI,主要原因包括女性、年龄、收缩压,应进行早期筛查并适时干预,改善患者预后。Objective:To study the somatization symptoms,anxiety and depression status of patients with acute myocardial infarction after emergency percutaneous coronary intervention(PCI).Methods:One hundred and eighty patients with acute myocardial infarction were admitted from January 2020 to May 2021;120 patients in emergency percutaneous coronary intervention(PCI)group were taken as experimental group;60 patients in non-emergency percutaneous coronary intervention group was taken as control group.The patients in two groups were evaluated by self-rating somatization symptom scale,generalized anxiety disorder scale and health questionnaire self-rating depression scale.The somatization symptoms and anxiety and depression status incidences were compared between the two groups.Results:The positive rate of postoperative somatization symptoms and the incidence of anxiety in the experimental group were higher than those in the control group,the difference was statistically significant(P<0.05).The first three somatization symptoms of the experimental group were fatigue and malaise,hypodynamia(65.83%),nervous system symptoms(63.33%)and sleep problems(60.00%),respectively.Female,age and systolic blood pressure were independent influencing factors of somatization symptoms(P<0.05).Conclusion:The somatization symptoms of patients with acute myocardial infarction after emergency PCI are significantly higher than those of patients without emergency PCI.The main reasons include female,age and systolic blood pressure.Early screening and timely intervention should be carried out to improve the prognosis of patients.

关 键 词：心肌梗死 冠状动脉介入术 躯体化症状 焦虑 抑郁 

分 类 号：R542.22[医药卫生—心血管疾病]