|本期目录/Table of Contents|

[1]李瑞婷,程慧,李国庆.冠心病经皮冠状动脉造影术后焦虑和抑郁状态及其影响因素[J].慢性病学杂志,2021,(02):198-202.
　LIRui-ting *,CHENGHui,LIGuo-qing.Anxiety and depression status and its influencing factors in patients with coronary heart disease after percutaneous coronary angiography[J].,2021,(02):198-202.
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冠心病经皮冠状动脉造影术后焦虑和抑郁状态及其影响因素

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2021年02期
页码:
198-202
栏目:
论　著
出版日期:
2021-01-20

文章信息/Info

Title:
Anxiety and depression status and its influencing factors in patients with coronary heart disease after percutaneous coronary angiography
作者:
李瑞婷1; 程慧2; 李国庆2
1.石河子大学医学院，新疆 石河子 832000； 2.新疆维吾尔自治区人民医院心内科，乌鲁木齐 830000
Author(s):
LIRui-ting * ; CHENGHui; LIGuo-qing
*ShiheziUniversitySchoolofMedicine,Shihezi,Xinjiang832000,China Correspondingauthor:LIGuo-qing,E-mail:xjlqg@vip.163.com
关键词:
冠心病; 冠状动脉造影术; 经皮冠状动脉介入术; 焦虑; 抑郁
Keywords:
Coronary heart disease;  Coronary angiography;  Percutaneous coronary intervention;  Anxiety;  Depression
分类号:
R541
DOI:
-
摘要:
目的 分析冠状动脉粥样硬化性心脏病患者行经皮冠状动脉造影术的焦虑、抑郁状态的影响因素。方法 选取2018年10月7日至2019年3月15日于新疆自治区人民医院心血管内科确诊为冠状动脉粥样硬化性心脏病的 109例住院患者作为研究对象，于经皮冠状动脉造影术后第1天、术后1个月、术后3个月进行随访，采用焦虑自评量表 （GAD-7）和抑郁自评量表（PHQ-9）进行评估，并对患者的一般情况：年龄、身高、体重、婚姻状况、文化 程度、居住情况、吸烟史、饮酒史、合并疾病（高血压、糖尿病、高血脂）、既往行经皮冠状动脉支架置入术 史、支架数量进行调查，并对发生焦虑或者抑郁状态及焦虑合并抑郁状态的影响因素采用二分类logistic回归分 析。结果 109例患者中，焦虑患者28例（25.68%），抑郁0例，性别、高血压、造影及手术史、糖尿病是冠状 动脉粥样硬化性心脏病患者的影响因素，其中性别（OR=1.07，P<0.001，95%CI1.04~1.10）、高血压（OR= 1.15，P<0.001，95%CI1.07~1.25）、造影及手术史（OR=4.15，P<0.001，95%CI3.07~6.25）、糖尿病 （OR=1.03，P=0.026，95%CI1.01~1.06）均是冠状动脉粥样硬化性心脏病患者术后发生焦虑状态的危险因 素。结论 性别、高血压、造影及手术史、糖尿病均是冠状动脉粥样硬化性心脏病患者焦虑状态的危险因素。
Abstract:
Objective To analyze the anxiety and depression status of patients with coronary atheroscle-rotic heart disease undergoing coronary angiography. Methods A total of109 patients diagnosed with coronary heart disease in the Department of Cardiology of Xinjiang Autonomous Region People’s Hos-pital from October 7, 2018 to March 15, 2019 were selected. There were53 males and56 females, and their ages were 30-73 years old, with an average age of（56.24±8.24）years old. The patients undergoing coronary angiography were followed up on the first day, one month, and three months af-ter surgery. Self-rating anxiety scale（GAD-7）and self-rating depression scale（PHQ-9）were used to evaluate their mental status. An assessment was carried out to check the general condition of the patients such as age, height, weight, marital status, education level, living status, smoking history, drinking history, combined diseases（hypertension, diabetes, hyperlipidemia）, and previous percutane-ous coronary stent, the history of implantation and the number of stents. The influencing factors of anxiety, depression, or both of them were analyzed by binary logistic regression analysis. Results Among the109 patients, 28 patients（25.68%）had anxiety and no patient had depression. Gender, hy-pertension, angiography and surgical history, and diabetes were the risk factors of postoperative anxiety in patient with coronary heart disease （gender: OR=1.07, P<0.001, 95%CI1.04-1.10; hypertension: OR=1.15, P<0.001, 95%CI1.07-1.25; angiography and surgical history: OR=4.15, P<0.001, 95%CI 3.07-6.25; diabetes: OR=1.03, P=0.026, 95%CI1.01-1.06）. Conclusion Gender, hypertension, ra-diography and surgical history, and diabetes are all risk factors for anxiety in patients with coronary atherosclerotic heart disease.

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备注/Memo

备注/Memo:
作者简介：李瑞婷，硕士，住院医师，研究方向：心血管内科 通信作者：李国庆，E-mail: xjlqg@vip.163.com
更新日期/Last Update: 2021-02-28