急性心脑血管病患者焦虑障碍社会经济因素分析

目的调查冠心病、脑血管病患者焦虑障碍临床发病情况,对比分析其影响因素。方法选用2004年10月-2007年9月在泰山医学院附属医院心内科及神经内科住院病人,发病1周内对患者进行Hamilton焦虑量表（HAMA）诊断评价,并采集患者个人信息（年龄、性别、职业、文化程度等）、家庭经济状况、医疗保障情况等,对其进行分析。结果脑血管病患者焦虑发生率为51%,明显高于冠心病患者30.2%（P〈0.01）。两组病人中的焦虑患者在个人基本情况、家庭经济状况、医疗保障方面均无显著性差别。结论急性心脑血管病患者焦虑障碍发生较冠心病患者高,其原因与社会经济因素无关。

Analysis of socioeconomic factors in anxiety disorder in patients with acute cardiovascular and cerebrovascular disease

Objective: To investigate the prevalence and its determinants of anxiety disorder among cardio-cerebrovascular disease patients,and the comparison and analysis were made.Methods: The patients were hospitalized in the Department of Cardiology and Neurology,Affliated Hospital of Taishan Medical College between November 2004 and September 2007.All the subjects were assessed by Hamilton anxiety scale(HAMA) within one weeks,and the individual information was gathered,including personal information(age,sex,employment,educational level),family economic level,medical insurance,which was analyzed.Results: Fifty-one percent of the patients were identified as anxiety disorder in cerebrovascular patients,whihc was more than that in the patients with coronary artery disease 30.2%(P<0.01).There was no significant difference in personal information,family economic level,medical insurance among patients with anxiety disorder.Conclusion: The rate of anxiety is much higher in the patients with cerebrovascular disease than that in the patients with coronary heart disease,and it is not related to the socioeconomic factors.