心绞痛并发抑郁症的临床特点、预后及治疗

Clinical characteristic and prognosis of angina pectoris with depression

目的 :探讨心绞痛并发抑郁症 (AWD)的临床特点及预后。方法 :43例 AWD为观察组 ,同期的 40例心绞痛不并发抑郁症 (AND)为对照组。随机比较两组的年龄、性别、性格、经济收入、是否独居、临床特点 ,及 1年前、后的踏车运动试验、心绞痛级别、心功能、心电图改变和预后。结果 :较之 AND,AWD的临床特点为 :(1)心境低落、失眠及焦虑情绪常见 ,各占 10 0 %、 97.7%及 86 .0 % ;(2 )中老年人、女性、 A型性格、独居和经济低收入者发病率较高 ;(3)心肌缺血较重 ;(4)远期预后较差。结论 :心绞痛并发抑郁症时 ,心绞痛加重 。

Objective:To investigate the clinical features and prognosis of angina with depression(AWD).Methods:The age?sex?disposition?economics?whether?single?clinical feature and changes of cycle ergometer testing?angina grade?heart function?ECG and prognosis of AWD group(43 cases) were studied before and after one year.An additional 40 cases with angina not depression(AND) were as controls at random. Results:The characteristic of AWD was as follows:(1)The dysphoria?asleep hardly and anxiety state were very common in depression,it occurred in 100%?97 7% and 86 0% of 43 cases respectively;(2)The incidence of depression was higher in patients of middle\|older?women?disposition of type A?economy is hard up and dingle,than the AND subjects( P <0 01 or P <0 05);(3)Compared the AND group the myocardial ischemia was much serious,the long\|term prognosis was relatively poor.Conclusion:The angina is deteriorating,when it complicated depression.It must be prevented and treated early.