急性心肌梗死病人情感障碍的调查

EMOTIONAL DISORDER OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

1目的 探讨情感障碍对急性心肌梗死 (AMI)病人的影响。2方法 根据抑郁自评量表 (SDS)评分 ,把 147例 AMI病人分为伴有抑郁症组和不伴有抑郁症组 ;伴有抑郁症组病人再随机分为治疗组和对照组 ,对治疗组进行干预治疗 ,治疗前后分别进行 SDS评分 ,对照组不进行心理干预治疗。 3结果 147例 AMI病人中伴有抑郁症者 5 7例 ,占 38.1% ;伴有抑郁症的 AMI病人病死率为 12 .5 % ,明显高于不伴有抑郁症的病人 (2 .2 % ) ,差异有显著性 (χ2 =5 .5 8,P<0 .0 5 ) ;通过对伴有抑郁症组进行心理及药物干预治疗 ,明显降低了 AMI的病死率。 4结论应高度重视 AMI后的情感障碍 ,及早进行心理疏导和药物干预 。

Objective\ This study was designed to investigate the mood disorder of 147 patients with acute myocardial infarction (AMI).\ Methods\ The AMI patients were divided into depression group and without depression group by self depression scale(SDS). The patients with depression were divided into two groups by random, the control and treatment group. The treatment group was scored by SDS before and after treatment. The control group was not treated.\ Results\ Fifty seven ( 38.1% ) patients with depression, the death rate was 12.5% and significantly higher than that of the patients without depression( χ 2= 5.58 ,P <0.05). The death rate of AMI with depression significantly decreased by using psychotherapy and drug treatment. Conclusion \ There are many AMI patients with depression. A clinician should pay great attention to mood disorder of AMI patients and apply psychotherapy and drug as soon as possible to decrease the death rate. [