心肌梗塞PCI术后患者焦虑、抑郁情绪的临床观察

目的：了解心肌梗塞PCI术后伴发焦虑、抑郁的发生率。方法：采用疾病、健康对照研究的方法，将103例心肌梗塞PCI术后的应用采用汉密顿焦虑量表（HAMA）和抑郁量表（HAMD）对入选患者的术后当天和术后一月进行评定，同时对焦虑、抑郁的发生率与健康对照者进行比较，把所得量表总分及焦虑、抑郁发生率进行统计分析。结果：PCI术后当日HAMA、HAMD评分与健康对照组比较有显著性差异，P〈0．01，术后当日与术后1月比较没有显著性差异，P〉0．01；PCI术后当日焦虑、抑郁的发生率表与健康对照比较有显著性差异P〈0．01，焦虑、抑郁的发生率术后当日与术后1月比较没有显著性差异，P〉0．01；结论：心肌梗塞PCI术后患者有焦虑和抑郁情绪障碍，且可持续存在。

Clinical Study on Anxiety and Depression in Patients with Acute Myocardial Infarction after PCI.

Objective： To study the anxiety and depression in patients suffering from acute myocardial infarction after PCI. Methods ： 103 patients with acute myocardial infarction monitored with HAMD for depressive symptoms and HAMA for anxious symptoms for the first day and a month later after PCI. Results： Scale scores of HAMA and HAMD in PCIgroup were higher than in the control group in the first day after PCI and there was significant difference. There was no difference between the first day and a month later in the scale scores. The prevelance of anxiety and depression in PCI group was higher than in control group. There was no difference between the first day and a month later in prevelance. Conclusion： Anxiety and depression happened in patients suffering from acute myocardial infarction after PCI. That can be last for long time.