非心源性胸痛患者的临床症状、心理健康状况及生活质量

The psychological problems and quality of life with non cardiac chest pain

目的调查非心源性胸痛（NCCP）患者的临床症状、心理健康状况，评价患者的生活质量与心理障碍的相互关系。方法对63例非心源性胸痛患者（观察组）和对照组60例健康人（对照组）进行问卷调查，内容包括焦虑自评量表（SAS）、抑郁自评量表（SDS）和健康状况问卷（SF-36），进行分析比较两组的情绪状态和生活质量。结果NCCP患者和健康对照组SAS评分分别为（47．32±10．69）分、（33．24±7．86）分，比较具有统计学意义（P〈0．01）；SDS评分分别为（44．57±11．21）分、（35．78±6．89）分，比较具有统计学意义（P〈0．01）。NCCP患者生活质量明显低于和健康对照组，具有统计学意义（P〈0．01）。结论NCCP患者具有明显的心理障碍，生活质量明显下降，焦虑和抑郁在NCCP发病机制中具有重要的地位。

Objective To investigate clinacal symptoms and the psychological problems in patients with noncardiac chest pain（NCCP） and analysis the the quality of life and the influence factors of it. Methods A quuestionnaire study of 63 NCCP patients and 60 healthy volunteers by Self-Rating Anxiety Scale （SAS） , Self- Rating Depression Scale （SDS）and Short Form 36 Health Survey Questionnaire（ SF-36 ）. Alhhe scale were analysed in comparisons of each other. Results The scores of SAS of NCCP were higher than that inherlthy volunteers[ （47.32 ± 10. 69）vs （33.24 ± 7.86） ] （P 〈 0.01 ）, the scores of SDS of NCCP were r higher than that inherlthy volunteers[ （44. 57 ± 11.21）vs（35.78±6.89） ] （P 〈0. 01）. while the SF-36 scores of the inherlthy volunteers were significant higher than those of NCCP （ P 〈 0.01 ）. Conclusion The patients with NCCP had psycholigical problems certainly, and a marked drop in the quality of life. both of anxiety and depression play important roles in the pathogenesis of the patients with NCCP.