抑郁状态对冠心病患者住院时间的影响

目的:探讨抑郁症状对冠心病患者住院时间的影响。方法:横断面研究。采用汉密尔顿抑郁量表-17(HRSD-17)、汉密尔顿焦虑量表(HAMA)对129例经冠状动脉造影确诊的住院冠心病患者进行心理状态评估,按HRSD-17评分≥10分为有抑郁症状(定为抑郁组),10分为对照组。比较2组冠心病患者的临床特点、住院时间,分析抑郁症状对住院时间的影响。结果:129例冠心病患者中43例(33.3%)有抑郁症状。与对照组相比,抑郁组冠心病患者女性比例较高(51.2%vs13.9%),焦虑程度高(17.1±6.2)vs(7.4±3.9);住院天数较长(9.0±4.6)dvs(7.1±3.6)d,组间差异有统计学意义,经多元线性回归分析结果提示:抑郁(HRSD-17评分)是冠心病患者住院时间的独立影响因素。结论:抑郁是冠心病常见的合并症状,可能延长患者的住院时间。

The impact of depressive symptoms on the time to discharge of inpatients with coronary heart disease

Objective：To estimate the impact of depression symptoms on cost of hospitalization with CHD.Methods：A cross-sectional study.The mental state of 129 inpatients with CHD who were definited by coronary angiography（CAG） were assessed by Hamilton Anxiety Rating Scale（HAMA） and Hamilton Depression Rating Scale-17（HRSD-17） before the CAG operation.The patients with the scale of HRSD-17≥ 10 were considered had depressive symptoms,definited as depression group.Our study Compared the clinical characteristics,the time to discharge of hospitalization between the depression group and the control,and analized the impaction of depression symptoms on the time of discharge.Results：In the study,forty-three of 129（33.3 %） CHD inpatients had depressive symptoms.The patients with depression were more likely female（51.2% vs 13.9 %） and had a higher score of HAMA than control（17.1 ±6.2） vs（7.4 ±3.9）.The time to discharge were significantly longer in patients with depression than that without （9.0 ± 4.6） days vs（7.1 ± 3.6） days）].The result of multiple linear regression analysis show that the scale of HRSD-17,HAMA of CHD patients were the independent risk factors for the time of hospitalization.Conclusion：Depression symptoms were very common among the patients with CHD,and may be likely to increase the time of hospitalization.