冠心病患者介入治疗后焦虑、抑郁状况分析

目的通过对我科接受冠脉患者介入治疗（PCI）患者进行问卷调查，探讨PCI术后合并焦虑、抑郁患者发病率以及发病原因，为该类患者的治疗提供依据。方法选择2005年1月至2007年1月于我科接受PCI治疗的全部患者，术后1月行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分，对合并有焦虑、抑郁的患者进行自制问卷调查。结果PCI术后入选的128例患者合并焦虑的占45.3％（58例），合并抑郁的占28．1％（36例），同时合并焦虑、抑郁的占18．0％（23例）。患者主要焦虑的原因依次为：①担心支架移位69．0％（49／71）。②日常活动受影响53．5％（38／71）。③手术后长期服用药物引起不良反应38．0％（27／71）。结论虽然术后HAMA和HAMD平分较术前无显著性差异，但PCI术后患者合并焦虑与合并抑郁的患者发生率均较高，因此有必要对PCI术后的患者进行联合心理干预的治疗。

The analysis of anxiety and depression in patients with percutaneous coronary intervention

Objective To explore the anxiety and depression rate and main relate reasons in patients with percutaneous coronary intervention （PCI） Methods Patients with PCI （from January 2005 to January 2007 ） accepted HAMA, HAMD investigation after the operation for a month. All of those who have anxiety and/or depression also accepted selfcontrol questionnaire investigation. Results 45.3 % （58 cases） PCI patients had anxiety,28.1% （36 cases） PCI patients had depression respectively. 18% （23 cases） PCI patients had both anxiety and depression. There was no significant difference between before PCI and after PCI. The main worry reasons of anxiety were stunts movement, the limitation of routine exercise and the side effect of drugs successsvely. Conclusion PCI patients have high anxiety and depression rate. So it is necessary for patients with PCI to be cured combine with psychological therapy.