冠状动脉旁路移植术后患者抑郁焦虑状况及对生存质量的影响

The Morbidity of Depression and Anxiety and Its Impact on the Quality of Life After Off-pump Coronary Artery Bypass Grafting

研究选取2008年至2010年在我院接受冠状动脉旁路移植术(CABG)并完整填写术后半年、1年、2年抑郁焦虑自评量表(SDS、SAS)及SF-36问卷的患者,得出CABG术后2年内抑郁的发生率为32.4%,术后半年、1年、2年分别为29.4%、27.7%、23.6%。CABG术后2年内焦虑的发生率为18.2%,术后半年、1年、2年分别为14.7%、16.9%、7.9%。在术后生存质量的比较中,得出术后半年、1年、2年情感障碍组患者的生存质量要明显比非情感障碍组差。抑郁焦虑症状的高发生率,及其明显地降低了CABG术后患者的生存质量,提示临床医生须对冠心病及CABG术后患者的心理健康予以足够的重视。

Our research picked 148 patients who completed self-rating depression scale ,self-rating anxiety scale ,SF-36 form after 6 months ,1 year and 2 years of CABG between November 2008 and September 2010 .Then we analyzed their scores .The incidence of depression is 32 .4% ,and the incidence at 6 months ,1 year ,2years after CABG are 29 .4% , 27 .7% ,23 .6% respectively .the incidence of anxiety is 18 .2% ,and the incidence at 6 months ,1 year ,2years after CABG are 29 .4% ,27 .7% ,23 .6% respectively .At 6 months after CABG ,affection disorder group had lower QOL score than the group without affection disorder .Depression and anxiety frequently happened in patients after CABG ,and obviously , depression and anxiety reduced the patients＆#39;QOL .Our findings suggest that doctors should pay enough attention to the mental health of post-CABG patients .