摘要
目的 探讨焦虑、抑郁情绪对胸痛的影响。方法 依据有无心肌缺血表现和冠状动脉造影有无见病变 ,将 6 8例胸痛患者分成 3组 ,采用焦虑自评量表 (SAS)和抑郁自评量表 (SDS)对焦虑和抑郁调查分析 ,并对有焦虑者抗焦虑药物和心理干预综合治疗 ,8周后观察疗效。结果 冠脉造影阴性患者焦虑 ,抑郁发生率明显高于冠脉造影阳性者 (P <0 .0 5 )。抗焦虑治疗缓解胸痛有效率达 92 .0 %。结论 焦虑、抑郁情绪可引起类似心绞痛样胸痛的躯体化障碍 ,易误诊 ,抗焦虑治疗对缓解胸痛有良好的疗效。
Objective To investigate the effect of anxiety and depression in patients with chest pain. Methods 68 cases of chest pain were divided into 3 groups on with or unwith myocardial ischemic and abnormal or normal coronary artery. Anxiety and depression were assessed using self rating anxiety scale (SAS) and self rating depressive scale(SDS), respectively. The patients with anxiety were treated with Alprazolam and psychological therapy for 8 weeks. Results Non coronary artery disease(CAD)group were significantly higher than the CAD group on occurrence rate of anxiety and depressive(P<0.05). The treatment of Alprazolam and psychological were efficient to patients with anxiety and depressive. The total effective rate was 92.0%. Conclusion Anxiety and depressive can induced chest pain symptom as angina pectoris. Misdiagnosis was easily. The treatment of anti anxiety and psychological interventian are effective for them.
出处
《中国行为医学科学》
CSCD
2002年第3期268-269,共2页
Chinese Journal of Behavioral Medical Science
关键词
焦虑
抑郁
胸痛
冠脉造影
阿普唑仑
Anxiety
Depressive
Chest pain
Coronary angiography
Alprazolam
