冠心病心绞痛患者焦虑/抑郁情绪测定评分的分析及治疗

The analysis anxiety/depression score and treatment of patients with angina pectoris

目的:探讨冠心病心绞痛患者焦虑抑郁评分的高低及抗焦虑抑郁治疗的疗效。方法:2010年3月～2012年2月于本院心内科治疗的冠心病心绞痛患者120例,对照组为健康志愿者20例,行焦虑抑郁评分。有焦虑抑郁患者行黛力新抗焦虑抑郁治疗,治疗前后行焦虑抑郁评分及采用西雅图心绞痛量表(SAQ)对患者治疗前后生活质量评估。结果:冠心病心绞痛患者焦虑评分及抑郁评分均高于对照组。治疗后患者焦虑抑郁评分较治疗前明显改善。治疗后患者生活质量较前明显好转。治疗后焦虑抑郁评分与躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认知程度评分呈负相关。统计学均有显著差异(P<0.05)。结论:冠心病心绞痛患者有明显的焦虑抑郁症状,联合抗焦虑抑郁治疗后,患者自觉生活质量改善,压力减轻,生活健康轻松。

Objective To investigate the level of anxiety and depression cores in patients with coronary heart disease and the efficacy of anti-anxiety depression treatment.Methods The Hospital Anxiety and Depression Scale(HADS) were measured in 120 patients with angina pectoris and 20 healthy volunteers between March 2010 and February 2012.Patients with anxiety and/or depression were treated by deanxit.The level of Hospital anxiety and depression scores and Seattle Angina scale(SAQ) were compared between pre-and post-treatment.Results The level of Hospital anxiety and depression scores of patients were higher than of the contral.The level of Hospital anxiety and depression scores and quality of life of patients of patients were improved after treatment.After treatment,the degree of anxiety and depression scores and physical activity limitation,angina stability status,onset of angina,treatment satisfaction,knowledge of the disease severity score was negatively correlated.The statistics were significant differences.(P<0.05).Conclusion The patients with angina pectoris have significant symptoms of anxiety and depression.After jointed anti-anxiety depression treatment,the patients felt the quality of life improved,stress relieved,living healthy and relaxed.