冠心病PCI治疗前后抑郁焦虑情绪分析

Analysis of Depression and Anxiety of the Patients with Coronary Heart Disease before and after PCI

目的:探讨冠心病PCI治疗与抑郁、焦虑情绪对患者的影响。方法:在冠心病PCI治疗前、后,应用SDS、SAS量表对患者进行抑郁、焦虑程度测评,用统计方法评价PCI术前、术后SDS和SAS积分变化的意义。结果:112例冠心病PCI治疗患者,术前焦虑者58例(51.79%)、抑郁者32例(28.57%),与术后1周焦虑者65例(58.04%)、抑郁者28例(25.00%)比较差异无统计学意义(P>0.05);术后6月焦虑者76例(67.86%)与术前、术后1周比较差异均有统计学意义(P<0.05),且中度焦虑患者22例(19.64%),较术前人数增加,其差异有统计学意义(P<0.05);术后6月患抑郁者36例(32.14%),与术前、术后1周比较差异均无统计学意义(P>0.05),但中度抑郁者16例(14.29%),较术前增加,其差异有统计学意义(P<0.05)。结论:成功的冠脉介入治疗不能有效改善冠心病患者焦虑或抑郁情绪,且随着术后病程的延长,抑郁、焦虑的程度会加重,从而影响冠心病PCI治疗的远期疗效。

Objective： To explore the influence of PCI, depression and anxiety on the patients with coronary heart disease （CHD）. Methods： The degrees of depression and anxiety in CHD patients were assessed by SDS and SAS before and after treating with PCI, the changes of SDS and SAS scales were judged before and after PCI with statistical method. Results： There were 112 CHD patients treated with PCI, 58 cases suffering from anxiety before surgery （51.79%） and 32 cases with depression （28.57%）, it had no statistical meaning compared with 65 cases of anxiety （58.04%） and 28 cases of depression （25.00%） in one week after the surgery （P〉0.05）; there were 76 pa-tients with anxiety in six months after the surgery （67.86%）, it demonstrated statistical meaning compared with the numbers before the surgery and in one week after the surgery （P0.05）, but 16 cases with moderate depression （14.29%）, it was in-creased compared with that before the surgery, it had statistical meaning （P〈0.05）. Conclusion： Successful PCI can＇t effectively improve depression and anxiety of CHD patients, as the course of the disease prolonged after the surgery, depression and anxiety would aggravate, and affect long-term effects of PCI therapy in treating CHD.