摘要
目的 :探讨心血管疾病患者伴焦虑抑郁症状的临床特征及治疗。方法 :对心血管内科住院的 10 47例心血管疾病伴焦虑抑郁症状的患者进行回顾性分析。结果 :心血管疾病患者中伴有焦虑抑郁症状者占 13 4% ;其常表现为类似心绞痛、类似左心衰的症状 ,可伴有心律失常 ;高血压病合并有焦虑抑郁患者对血压升高的耐受性差 ,动态血压检查以非杓型改变者居多 ;单纯使用心血管药物治疗效果欠佳 ,合并使用抗焦虑抑郁药物疗效显著。结论 :心血管疾病患者常伴有焦虑抑郁症状 ,应注意识别其类似于心血管疾病的躯体化症状 。
Objective:To study the clinical characteristics and treatment of anxiety depression in car diovascular patients. Methods:The clinical data about 1047 cases of cardiovascular patients with anxiety depression were retrospectively reviewe d. Result: 13 4 percent of cardiovascular patients was complicated w ith anxiety depression. The main symptoms were similar to angina pectoris and to left heart failure. The patients might occur arrhythmias. The hypertension comp licated with anxiety depression were poor tolerance to blood pressure elevating and in these patients the proportion of patients with the blood pressure circadi an lost was higher. They responded badly to only using cardiovascular drugs trea tment and additional administration of antianxiety and antidepressant drugs was effective. Conclusion: The anxiety depression is common in cardiovas cular patients. It is important to pay more attention to identify the symptoms o f anxiety depression, which is similar to cardiac disease. The administration of cardiovascular drugs adding antianxiety and antidepressant drugs is safe and ef fective in treatment of cardiovascular patients with anxiety depression.
出处
《医学理论与实践》
2004年第1期15-17,共3页
The Journal of Medical Theory and Practice
