| 冠状动脉梗死范围和疼痛程度与AMI患者急性应激状态的相关性 |
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| 引用本文： | 宋琼,陈长香. 冠状动脉梗死范围和疼痛程度与AMI患者急性应激状态的相关性[J]. 现代预防医学, 2016, 0(17): 3248-3251 |
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| 作者姓名： | 宋琼 陈长香 |
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| 作者单位： | 华北理工大学护理与康复学院,河北 唐山 063000 |
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| 摘 要： | 目的 了解急性心肌梗死患者急性应激反应情况及其与冠状动脉梗死范围、疼痛程度的相关性。方法 对2015年7月-2016年3月唐山工人医院急性心肌梗死患者364例,采用一般资料、斯坦福急性应激反应问卷(SASRQ)、疼痛视觉模拟评分尺(VAS)进行年龄、性别等一般资料和急性应激反应及疼痛程度的评测。结果 364例患者SASRQ总分介于40~56分者占23.4%,57~150分者占28.6%;根据SASRQ单个条目评分≥3分为阳性症状,有分离症状者42.6%,有创伤再体验症状者55.5%,有回避症状者41.8%,有醒觉性增高症状者70.9%。冠状动脉病变程度、疼痛与AMI患者急性应激状态呈负相关,多支病变、疼痛严重者的SASRQ总分及各个维度评分较高,多因素分析显示,糟糕天数、烦扰程度、受教育程度和疼痛最终进入SASRQ总分回归方程,差异有统计学意义(P<0.05)。结论 AMI患者存在明显的急性应激症状,多支病变、疼痛严重患者发生急性应激障碍的可能性越大。
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| 关 键 词： | 急性心肌梗死 急性应激障碍 病变支数 疼痛 |
Relationship between acute stress response and the range of coronary artery infarct and degree of chest pain in acute myocardial infarction |
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| SONG Qiong,CHEN Chang-xiang. Relationship between acute stress response and the range of coronary artery infarct and degree of chest pain in acute myocardial infarction[J]. Modern Preventive Medicine, 2016, 0(17): 3248-3251 |
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| Authors: | SONG Qiong CHEN Chang-xiang |
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| Affiliation: | College of Nursing and Rehabilitation of North China University of Science and Technology,Tangshan,Hebei 063000,China |
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| Abstract: | Objective To investigate the incidence of coronary infarct and chest pain among acute myocardial infarction patients with acute stress disorder. Methods 364 patients with AMI in Tangshan Workers′ Hospital were enrolled from December,2015 to March,2016. Stanford acute stress reaction questionnaire,visual analogue scale were used to collect general information and investigate the condition of acute stress response and chest pain. Results Among the 364 subjects,23.4% had the SASRQ total scores of 40-56,28.6% had scores above 57 but below150. According to SASRQ,if one single symptom entry score is above 3 points,it indicates the symptom is positive. At last,42.6% of the patients suffered separation of symptoms,55.5% suffered re-experience traumatic symptoms,41.8% suffered avoidance symptoms and 70.9% suffered anxiety symptoms. Coronary infarct and chest pain were negatively correlated with acute stress response in AMI patients. And these patients who were with multivessel disease and severe chest pain got a higher score in SASRQ total score and each dimension. Multi-factor analysis indicated when worst days,the degree of annoyance,education status,and chest pain were included into the regression equation,and the difference has statistical significance (P<0.05). Conclusion The AMI patients who have obvious acute stress response symptoms,multivessel disease,and severe chest pain may be more likely to have acute stress response disorder. |
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| Keywords: | Acute myocardial infarction Acute stress response disorder Multivessel disease Chest pain |
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