摘要
目的:调查冠心病(Coronary Heart Disease,CHD)合并焦虑抑郁的情况。方法:对确诊的245例冠心病患者给予汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA)和汉密顿抑郁量表(Hamilton Depression Scales,HAMD)进行量表评分并进行统计分析。分析245例患者的性别、文化程度、婚姻状况、高血压史、糖尿病史、冠心病类型等因素对冠心病合并焦虑抑郁的影响。结果:在接受调查的245例冠心病患者中,焦虑障碍64例,发生率为26.1%;抑郁障碍71例,发生率为28.98%,焦虑抑郁障碍并存的25例,发生率为10.2%。对245例CHD合并焦虑抑郁患者进行HAMA和HAMD量表评分,结果表明:无论焦虑评分还是抑郁评分结果,女性积分均较男性积分高,单身者积分较已婚者积分高,有高血压病史者积分较无高血压病史者积分高,有糖尿病史者积分较无糖尿病史者积分高,差异有统计学意义(P<0.01或P<0.05)。年龄及吸烟史对冠心病合并焦虑和抑郁积分均无影响(P>0.05)。结论:CHD患者容易伴发焦虑和抑郁情绪障碍,焦虑和抑郁情绪障碍往往能诱发和加重CHD的发作并影响其治疗效果。本调查发现性别、文化程度、婚姻状况、高血压史、糖尿病史、冠心病类型等均成为其有统计学意义的影响因素,其中女性、文化程度低、单身、有高血压史、有糖尿病史、冠脉病变程度重的患者更容易伴发焦虑抑郁障碍。
Objective:To investigate the incidence of coronary heart disease(CHD).Methods:245 patients with confirmed CHD were tested with Hamilton Anxiety Scale(HAMA)and Hamilton depression scales(HAMD),all the data were recorded and statistically analyzed.Results:Among 245 CHD patients under investigation,64 cases with anxiety disorder(26.1%),71 cases with depressive disorder(28.98%),25 cases with anxiety depression disorder(10.2%).The CHD patients with anxiety-depression were tested with HAMA and HAMD,to analyze the influence of various factors on CHD with anxiety-depression.The results showed that in anxiety and depression scale,the score is higher in female than in male,higher in singles than in married person,higher in cases with hypertension than in patients without hypertension,higher in cases with diabetes than in cases without diabetes,the difference has statistical significance depression score(P>0.05),education level has an impact on anxiety score(P<0.05),the types of CHD have an effect on depression score(P<0.05).Conclusion:CHD is often accompanied by anxiety and depression disorder,and anxietydepression can aggravate angina pectoris and influence the curative effect.In this survey,it is found that gender,education level,marital status,hypertension history,history of diabetes and CHD as the influencing factors,the female,low education level,single,hypertension history,history of diabetes and severity of coronary artery disease patients more easily associated with anxiety and depressive disorders.
作者
孙月园
张天庆
陈莎莎
顾健霞
SUN Yueyuan;ZHANG Tianqing;CHEN Shasha;GU Jianxia(Bengbu Hospitai Of Traditional Chinese Medicine,Anhui Bengbu 233080,China;Taihe County Hospital of Chinese medicine,Anhui Taihe 236600,China;Community health service center of Shuanggang street,Luyang District Anhui Hefei 230000,China;AnHui Provincial Hospitai Of Traditional Chinese Medicine,Anhui Hefei 230000,China)
出处
《中医药临床杂志》
2020年第2期288-291,共4页
Clinical Journal of Traditional Chinese Medicine
