抑郁和焦虑对经皮冠状动脉介入治疗患者的影响及对策

Anxiety and Depression in Patients Undergoing Percutaneous Coronary Interventions:influence and strategy

越来越多的冠心病患者接受经皮冠状动脉介入治疗,但是这些患者表现出的焦虑抑郁情绪对经皮冠状动脉介入治疗(PCI)围术期的影响却少有报道。研究发现,焦虑和抑郁对心脏事件发生后的恢复有不利的影响,而接受PCI治疗的患者情感障碍的发生率是比较高的。主要心血管事件与这些负面影响是相关联的,研究表明密切监测这些患者的情感状态可以明显改善临床预后。

The use of elective percutaneous transluminal coronary interventions （PCI） as a treatment for coronary heart disease is increasing .Despite this ,little is known about the prevalence and patterns of anxiety and depression experienced by patients undergoing or recovering from this procedure .Anxiety and depression are factors known to negatively influence recovery after a cardiac event .In patients submitted to PCI ,the prevalence of adverse psychological characteristics was high .Major cardiovascular adverse events were associated with baseline negative affectivity .More findings lend support for the closer surveillance of emotional status in this population to improve clinical prognosis .