合并抑郁、焦虑对老年冠心病患者PCI术后自主神经功能的影响
Effect of depression and anxiety on autonomic nervous function in elderly patients with coronary heart disease after PCI
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2021, 48(2) |
| 作者 |
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| 作者单位 |
洛阳市第一人民医院心内科 ;
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| 摘要 |
摘要：研究合并抑郁、焦虑对老年冠心病CHD患者PCI术后自主神经功能的影响。方法：选取我院78例接受过PCI术的CHD患者，其中纳入我院确诊为焦虑/抑郁症状患者39例计为焦虑/抑郁组，另选无焦虑/抑郁患者39例计为非焦虑/抑郁组，观察两组PCI术1年后自主神经功能指标；观察两组1年后康复状态（MRSS）、社会功能状态（SDSS）和生活质量情况（F-36评分）；两组1年内不良心血管发生率统计比较。 结果：焦虑/抑郁组患者自主神经功能显著高于非焦虑/抑郁组（P<0.05）；焦虑/抑郁组MRSS、SDSS显著高于非焦虑/抑郁组（P<0.05），SF-36显著低于非焦虑/抑郁组（P<0.05）；焦虑/抑郁组患者不良心血管事件发生率25.64%高于非焦虑抑郁组7.69%（P<0.05）。结论：在PCI术后心理状态良好的人群患者预后效果更好，自主神经功能、社会功能状态和生活质量更好。
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| Abstract |
Abstract:Objective：To study the effect of depression and anxiety on autonomic nerve function in elderly patients with coronary heart disease after PCI. methods：Methods: 78 patients with coronary heart disease (CHD) who had undergone PCI in our hospital were selected. Among them, 39 patients with anxiety / depression were included as anxiety / depression group, and 39 patients without anxiety / depression were selected as non anxiety / depression group, The indexes of autonomic nerve function were observed one year after PCI; The rehabilitation status (MRSS), social function status (SDSS) and quality of life (F-36 score) of the two groups after one year were observed;The incidence of adverse cardiovascular events in one year was compared between the two groups.Results：The autonomic nervous function in anxiety / depression group was significantly higher than that in non anxiety / depression group (P<0.05), MRSS and SDSS in anxiety / depression group were significantly higher than those in non anxiety / depression group (P<0.05), SF-36 was significantly lower than that in non anxiety / depression group (P<0.05); Conclusion：Patients with good psychological status after PCI have better prognosis, better autonomic nerve function, social function and quality of life.
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| 关键词 |
关键词： 焦虑；抑郁；经皮冠状动脉介入治疗；冠心病；自主神经功能
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| KeyWord |
Keywords:Anxiety; Depression; Percutaneous coronary intervention (PCI); Coronary heart disease;Autonomic nervous function
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| 基金项目 |
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| 页码 |
279-282 |
刘俊飞*.
合并抑郁、焦虑对老年冠心病患者PCI术后自主神经功能的影响 [J].
国际精神病学杂志.
2021; 48; (2).
279 - 282.