急性心肌梗塞患者与正常人生活事件、生活方式和负性情绪的对照研究

目的：探寻生活事件、生活方式、负性情绪与急性心肌梗塞（Acute Myocardial Infarction，简AMI）的病因学联系。方法：对91例AMI病人和90位正常人应用LES、SSRS、HAMD、HAMA等量表和生活方式问卷、一般状况测查表进行对照调查。结果：与正常人对照，AMI组发作前有明显心理刺激因素的有72例（79．12％）；AMI组负性生活事件分更高（P〈0．01）；AMI组的客观支持和主观支持和对支持利用度均明显低于正常组（P〈0．01）；生活方式方面，AMI组在饮食不良习惯、业余生活单调、缺乏锻炼，嗜烟酒，睡眠无规律等均明显高于对照组（P〈0．01）；负性情绪方面，AMI组在焦虑／躯体化、认知障碍、阻滞、绝望、睡眠障碍和焦虑抑郁总分均明显高于对照组（P〈0．01）。结论：负性事件多发，缺乏亲人和社会支持．不良的生活方式和负性情绪可能是AMI的发病危险因素。

A Comparative Study of Life Events, life Style, Negative Emotion Between Acute Myocardial Infarction Patients and Normal Persons

Objective: To study etiological relations of life events,life style,negative emotion with acute myocardial infarct(AMI).Methods: 91 AMI and 90 normal persons were investigated with LES,SSRS,HAMD,HAMA,life-style questionnaire.Results: Compared with normal group,there are 72 patients(79.12%) who had obvious psychologic stimulant factors before onset in AMI group.AMI patients had higher scores in negative life events(P<0.01),clearly lower scores in social supports(P<0.01),clearly higher scores in harmful dietetic habits,monotonous amateur life,lacking physical exercises,having a liking for smoking and drinking and somnus unregulation of life style(P<0.01),and clearly higher scores in somatization disorder of anxiety and depression,cognitive disorder,retardation,desperation,leeping disorder,total scores of anxiety and depression(P<0.01).Conclusion: Negative life events,laking social supports,harmful life style and negative emotion are dangerous factors of AMI.