老年冠心病患者并发抑郁症31例临床分析

目的 探讨老年冠心病患者并发抑郁症的临床特点.方法 收集该院年龄大于60岁、已确诊有冠心病伴抑郁症患者31例为观察组,不伴抑郁症患者48例为对照组,分析两组患者的临床资料.结果 观察组和对照组比较,患者心律失常发生率差异无统计学意义(P＞0.05),而观察组心电图ST-T改变较对照组明显增加,差异有统计学意义(P＜0.05).结论 伴抑郁症的老年冠心病患者较不伴抑郁症患者更易出现和发生心律失常和心肌缺血等改变.

Clinical analysis of 31 elder cases of coronary heart disease complicating depression

Objective To study the clinical features of elder patients with coronary heart disease(CHD) complicating depression.Methods 31 cases of CHD complicating depressionaged more than 60 years were collected as the observation group with 48 cases of CHD without complicating depression as the control group.The clinical data were analyzed retrospectively.Results The incidence rate of arrhythmia had no statistical difference between the two groups,but the ischemic ST-T change in the observation group was increased more significantly than that in the control group with statistical difference between them(P<0.05).Conclusion Elderly patientes with CHD complicating depression are more likely to develop arrhythmia and ischemic ST-T change than the CHD patients without complicating depression.