摘要
目的:评估急诊胸痛患者的心理状态并分析其临床特征。方法:收集2012-06-2013-06我院主诉急性胸痛的患者301人病例,采用汉密顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA)和汉密顿抑郁量表(Hamilton Depression Rating Scale-17,HAMD-17)评估患者心理状态,比较心源性胸痛(cardiac chest pain,CCP)与非心源性胸痛(non cardiac chest pain,NCCP)的临床特点及胸痛病因。结果:301例入选患者中,155例为CCP(51.5%),146例为NCCP(48.5%),并普遍表现为焦虑抑郁,其中CCP组中有肯定焦虑(HAMA>14分)和肯定抑郁症(HAM D-17>7分)的发生率分别是NCCP组的1.87倍和2.53倍。结论:CCP患者焦虑及抑郁发生率高,应及时给予心理支持,必要时再给予抗焦虑抑郁的药物干预,对降低心血管事件的发病率和病死率或有重要临床意义。
Objective：To evaluate the mental status and analyze its characteristics of patients with chest pain in emergency department. Method： This study was performed in the emergency department （ED） of the hospital where I am working. Totally 301 patients complaining of chest pain were enrolled in the study. The mental status of patients were assessed with the Hamilton Anxiety Rating Scale, （HAMA） and Hamilton Depression Rating Scale-17 （HAMD-17）. Result： A total of 301 patients with acute chest pain were enrolled in the study. There were155 patients diagnosed with cardiac chest pain （CCP） （ 51.5 %; 155/301 ） and 146 non-cardiac chest pain （ NC- CP） patients（48.5 %~146/301）. Most patients suffered from anxiety and depression. The cardiac chest pain group had higher proportion of patients whose HAMA scores were〉14 than NCCP group （60.1% vs 30.9%） and the patients whose HAMD-17 scores were〉 7 （32 ~ vs 12.2 % ）. Conclusion ： Evaluation of the mental status of patients with chest pain in the emergency department is important. Detection the mood disorders of them timely, giving moral support and psychological implications, and giving anti--anxiety depression drug intervention if necessary may have important clinical significance in reducing the incidence of cardiovascular events and mortality.
出处
《临床急诊杂志》
CAS
2014年第3期132-134,共3页
Journal of Clinical Emergency
关键词
急诊胸痛
心理评估
临床特征
acute chest pain
mental state
clinical characteristics
