经皮冠状动脉介入治疗伴发焦虑及抑郁情绪研究进展

Research Advance of Anxiety and Depression in Patient with Percutaneous Coronary Intervention

冠状动脉粥样硬化性心脏病(冠心病)患者行经皮冠状动脉介入治疗(PCI)前后心理状况常发生巨大变化,但较少受到临床医生的重视,本文总结了患者行PCI伴发焦虑、抑郁情绪的研究进展,分别从流行病学、危险因素、不良影响、干预措施角度进行综述。患者行PCI伴发焦虑、抑郁情绪发生率高,围术期最高,多数患者情绪症状长期存在不缓解。术后伴发抑郁甚至可以增加长期死亡率,但术后伴发焦虑却可能降低长期死亡率。冠心病行PCI伴发焦虑、抑郁患者应根据其实际情况选择适合的干预方式进行早期干预。

The psychological status of patients with coronary atherosclerotic heart disease(CAD)often changes greatly after percutaneous coronary intervention(PCI),but less attention has been paid to it by clinicians.This study summarized the research progress of anxiety and depression in patients with PCI.The epidemiology,risk factors,adverse effects and intervention measures were reviewed respectively.The incidence of anxiety and depression in patients with PCI was high and was highest in perioperative period,and the emotional symptoms of most patients were not relieved for a long time.Postoperative depression could even increase the long-term mortality,but postoperative anxiety may reduce the long-term mortality.Patients with anxiety and depression associated with PCI should choose appropriate intervention methods for the early intervention according to their actual situation.