冠心病患者的性格类型和抑郁状态分析

The analysis of character types and depressive state among coronary heart disease patients

目的:分析冠心病患者的性格类型和抑郁状态,评价A型性格及抑郁对心绞痛及心肌梗死的患病率的影响。方法:对照组,心绞痛组,心肌梗死组共336例,应用A型行为类型量表进行行为类型的测查,判断A型性格和B型性格。根据“焦虑自评量表分析系统”评估患者是否存在的焦虑抑郁状态。数据资料应用Excel软件建立数据库,SPSS 11.5软件进行数据分析。结果:在336名研究对象中,男性158人、女性178人,平均(62.56±12.27)岁。整个研究人群中A型性格患者176人(52.4%),A型性格的比例有随着疾病的严重程度而增加的趋势。研究人群中抑郁状态的患者为136人(40.5%),有随着疾病的严重程度而增加的趋势。A型性格中抑郁的患病率较B型性格中抑郁的患病率明显增加,差异有显著性。结论:A型性格及抑郁是心绞痛及心肌梗死的危险因素,A型性格类型是抑郁的相关性危险因素。

Objective：To analyze the character types and depressive state among coronary heart disease patients, and evaluate the effect of character type A and depression on angina and myocardial infarction patients. Methods：The study performed in 336 subjects included healthy controls ,angina and myocardial patients. Investigated character type A or B by character measuring scale and evaluated anxiety -depression state by anxiety measuring scale analytical system. The database was established by Epidata software and analyzed by SPSS11.5 software. Results： The mean age of 336 subjects （158 male and 178 female）was 62.56 ＋ 12.27. 176 subjects were with character type A. The ratio of character type A increased along with the Severity of coronary heart disease. 136 subjects were with anxiety - depression state and the ratio increased along with the Severity of disease. The prevalence of depression among peoples with type A supassed that among peoples with type B. Conclusions： Character type A and depression were he risk factors of angina and myocardial infarction. Character type A was the risk factor of depression.