89例慢性心力衰竭患者焦虑抑郁调查研究

目的了解慢性充血性心力衰竭患者中焦虑及抑郁的发病情况及特点。方法对89例心力衰竭患者焦虑和抑郁发生情况进行调查，收集患者的相关资料，评估与焦虑和忧郁发生的相关因素。结果89例心衰患者中有32．6％的患者存在明显焦虑，有34．8％的患者存在明显抑郁，其中心功能分级、房颤、糖尿病可以影响患者焦虑和抑郁量的病情，焦虑和抑郁程度与高敏C反应蛋白（hsCRP）、左心室射血分数（LVEF）有较强的相关性，没有发现性别、年龄与焦虑和忧郁有相关性。结论心力衰竭患者中存在较高的焦虑和抑郁的发生率，值得临床医师重视。

The investigation of anxiety and depression in 89 heart failure patients

Objective To investigate the situation of anxiety＆depression and some related factors in heart failure patients. Methods Self-rating anxiety scale（ SAS） and self-rating depression scale（SDS）were distributed to the 89 heart failure patients. The baseline characteristics and the relationship between the SAS and SDS scores was analysed. Results Out of the 89 heart failure patients32. 6% had anxiety and 34. 8% had depression. A statistic significance was found among NYHA class, diabetes, atria fibrillation, and levels of C reactive protein（hsCRP） ,left ventricular ejection fraction（LVEF） versus the scores of SAS,SDS. Conclusion This study finds a high prevalence of anxiety and depression in heart failure patients and more attention needs to be paid in order to improve their quality of life.