冠状动脉介入手术对冠心病患者心理状态影响

目的探讨冠心病患者行冠状动脉介入手术前后的心理变化。方法采用汉密尔顿焦虑、抑郁量表进行心理状态评分,观察焦虑和抑郁是否随血运重建而改善。结果对210例冠状动脉介入手术成功患者进行心理状态评分,应答率为100%。术前122例患焦虑,其中65例处于焦虑状态（30.95%）,57例肯定焦虑（27.14%）,占总调查人数的58.10%;80例患抑郁,40例处于抑郁状态（19.04%）,40例肯定抑郁（19.04%）,占总调查人数的38.08%。出院时,114例仍有焦虑,64例处于焦虑状态（30.48%）,50例肯定焦虑（23.81%）,占总调查人数的54.29%;89例患抑郁,44例处于抑郁状态（20.95%）,45例肯定抑郁（21.43%）,占总调查人数的42.38%。结论成功的介入手术并不能明显改善冠心病患者的焦虑和抑郁。

Effect of Interventional Operation on Mental State in Patients with Coronary Heart Disease

Objective To investigate the mental state of patients with coronary diseases before and after coronary artery interventional operation.Methods The mental state of patients was scored with Hamilton Anxiety and Depression Scale.Results Of 210 patients with successful coronary interventional operation,122 cases（58.1%）were being anxiety（65 in anxiety state and 57 in definite anxiety）,80（38.08%）being depression（40 in depression state and 40 in definite depression）at admission;Whereas 114（54.29%）were being anxiety still（64 in anxiety state and 50 in definite anxiety）,and 89（42.38%）being depression also（44 in depression state and 45 in definite depression）at discharge.Conclusion Anxiety and depression of patients with coronary heart disease can not be improved by successful coronary interventional operation.