PCI术后主要不良心血管事件与负性情绪的关系研究

Relationship Study Between Major Adverse Cardiovascular Events and Negative Emotions after PCI

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(4)
作者
作者单位

河南大学第一附属医院心血管内二科 ;

摘要
【摘要】探讨经皮冠状动脉介入术(PCI)后主要不良心血管事件(MACE)与负性情绪的关系。方法 本研究对象为2018年7月至2019年11月我院120例冠心病患者,均采用PCI术治疗,术后采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患者抑郁、焦虑等负性情绪,比较是否合并焦虑、抑郁症患者PCI术后MACE发生率,并以是否发生MACE为因变量,合并焦虑、抑郁症为自变量进行Logistic回归分析,进一步分析MACE与负性情绪的关系。结果 120例冠心病患者PCI术后合并焦虑症45例,合并抑郁症40例,合并焦虑、抑郁症患者PCI术后MACE发生率均分别高于未合并焦虑、抑郁症患者,差异具有统计学意义(P<0.05);Logistic回归分析显示,合并焦虑症、合并抑郁症是PCI术后发生MACE 的独立危险因素。结论 PCI术后焦虑、抑郁症检出率较高,且会增加术后MACE发生的风险,应加强PCI术后的心理干预,以降低MACE发生风险。
Abstract
[Abstract] Objective To investigate the relationship between major adverse cardiovascular events (MACE) and negative emotions after percutaneous coronary intervention (PCI). Methods A total of 120 patients with coronary heart disease in our hospital from July 2018 to November 2019 were the subjects of this study. All were treated with PCI. After surgery, the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to evaluate patients depression, anxiety and other negative emotions, and to compare whether they were combined with anxiety and the incidence of MACE in patients with depression after PCI. Logistic regression analysis was carried out with the occurrence of MACE as the dependent variable and anxiety and depression as independent variables to further analyze the relationship between MACE and negative emotions. Results In 120 patients with coronary heart disease after PCI, 45 patients with anxiety and 40 patients with depression. The incidence of MACE in patients with anxiety and depression after PCI was higher than that of patients without anxiety and depression, and the difference was statistically significant (P<0.05). Logistic regression analysis showed that combined anxiety and combined depression are independent risk factors for MACE after PCI. Conclusion The detection rate of anxiety and depression after PCI is high, and it will increase the risk of MACE after PCI. Psychological intervention after PCI should be strengthened to reduce the risk of MACE.
关键词
关键词:冠心病;经皮冠状动脉介入术;主要不良心血管事件;负性情绪
KeyWord
Key words Coronary Heart Disease; Percutaneous Coronary Intervention; Major Adverse Cardiovascular Events; Negative Emotions
基金项目
页码 690-692
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杨建涛*. PCI术后主要不良心血管事件与负性情绪的关系研究 [J]. 国际精神病学杂志. 2021; 48; (4). 690 - 692.

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