焦虑状态对急性心肌梗死患者经皮冠状动脉介入术后并发症的影响

Effect of Anxiety State on Complications after Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

目的:焦虑状态对急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)术后并发症的影响。方法:回顾性分析2021年4月—2022年4月在江门市新会区人民医院接受PCI术治疗的130例AMI患者临床资料。根据是否存在焦虑状态分为焦虑组(n=60)与无焦虑组(n=70)。根据是否使用氟哌噻吨美利曲辛片治疗,将焦虑患者分为使用药物组与未使用药物组,各30例。比较焦虑组与无焦虑组、使用药物组与未使用药物组术后并发症(心律失常、心力衰竭、心绞痛和心源性猝死)情况。结果:焦虑组术后心律失常、心力衰竭的发生率高于无焦虑组,差异有统计学意义(P<0.05);焦虑组与无焦虑组术后心绞痛、心源性猝死发生率比较,差异无统计学意义(P>0.05);使用药物组术后心律失常、心力衰竭、心绞痛发生率低于未使用药物组,差异有统计学意义(P<0.05);使用药物组与未使用药物组心源性猝死发生率比较,差异无统计学意义(P>0.05)。结论:焦虑可能加剧AMI患者PCI术后并发症发生风险,然而焦虑对于心源性猝死没有显著影响。此外,药物治疗对减少心律失常、心力衰竭、心绞痛有益。

Objective:To analyze the effect of anxiety on complications after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods:The clinical data of one hundred and thirty patients with AMI who received PCI in Jiangmen Xinhui District People's Hospital from April 2021 to April 2022 were retrospectively analyzed.They were divided into anxiety group(n=60)and non-anxiety group(n=70)according to the presence or absence of anxiety.According to whether or not to use flupentixol melitracen tablet treatment,anxiety patients were divided into medicated use group and non-medicated group,thirty cases each.Postoperative complications(arrhythmia,heart failure,angina pectoris and sudden cardiac death)were compared between the anxiety and non-anxiety groups,and between the medicated and non-medicated groups.Results:The incidence of arrhythmia and heart failure in the anxiety group was higher than that in the non-anxiety group,and the difference was statistically significant(P<0.05);there was no significant difference in the incidence of postoperative angina pectoris and sudden cardiac death between the anxiety and non-anxiety groups(P>0.05);the incidence of arrhythmia,heart failure and angina pectoris in the medicated group was lower than that in the non-medicated group,and the difference was statistically significant(P<0.05);there was no significant difference in the incidence of sudden cardiac death between the medicated and non-medicated groups(P>0.05).Conclusion:Anxiety may increase the risk of complications after PCI in AMI patients,but anxiety has no significant effect on sudden cardiac death.In addition,drug treatment is beneficial for reducing arrhythmia,heart failure and angina pectoris.