冠心病PCI患者情绪及心理状态与术后心血管事件的关系探究

Study on relationship between emotional and psychological status and postoperative cardiovascular events in PCI patients with coronary heart disease

目的探讨冠心病经皮冠状动脉介入治疗(PCI)患者情绪及心理状态与术后心血管事件的关系。方法选取2014年2月至2016年6月我院160例冠心病PCI治疗患者为研究对象,统计术后心血管事件发生率,并比较不同情绪及心理状态患者的术后心血管事件发生率,同时采用多因素logistic回归分析情绪及心理指标与术后心血管事件的关系。结果 160例冠心病PCI治疗患者术后有34例发生心血管事件,发生率为21. 25%,其中情绪及心理指标阳性患者的术后心血管事件发生率显著高于情绪及心理指标阴性患者,差异有统计学意义(P <0. 05),且多因素logistic回归分析显示,焦虑、抑郁等情绪指标和躯体化、强迫症状、人际关系敏感、敌对、恐惧及偏执等心理指标均与术后心血管事件有密切的关系(P <0. 05)。结论冠心病PCI患者情绪及心理状态与术后心血管事件有密切关系,应重视对冠心病PCI患者的情绪及心理状态调节。

Objective To investigate the relationship between the emotional and psychological status and postoperative cardiovascular events in percutaneous coronary intervention(PCI) patients with coronary heart disease. Methods To select 160 cases of patients with coronary heart disease who underwent PCI treatment in our hospital from February 2014 to June 2016 were selected as the study subjects. The incidence of postoperative cardiovascular events was counted after the surgery, and the incidence of postoperative cardiovascular events in patients with different emotional and psychological status was compared. Multivariate logistic regression was used to analyze the relationship between emotional and psychological indicators and postoperative cardiovascular events. Results Of the 160 patients with coronary heart disease treated with PCI, a total of 34 patients had cardiovascular events, with the incidence rate of 21.25%. The incidence of postoperative cardiovascular events in patients with positive emotional and psychological indicators was significantly higher than that in patients with negative emotional and psychological indicators. The difference was statistically significant( P <0.05). Meanwhile, the multivariate logistic regression analysis showed that emotional indicators such as anxiety and depression and psychological indicators such as somatization, obsessive-compulsive symptoms, interpersonal sensitivity, hostility, fear and paranoia were closely related to postoperative cardiovascular events( P <0.05). Conclusion The emotional and psychological status of patients with coronary heart disease who are treated with PCI are closely related to postoperative cardiovascular events. The regulation of emotional and psychological status in patients with coronary heart disease underwent PCI should be emphasized.