| 摘要 |
【摘要】目的 分析老年急性心肌梗死（acute myocardial infarction,AMI）患者经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）术后抑郁与认知功能的相关性。方法 回顾性分析100例于2023年1月至2025年1月在我院就诊的老年AMI患者的临床资料，依据术后1个月抑郁发生情况分为抑郁组（n=37）、无抑郁组（n=63）。比较两组一般资料、术前家庭关怀度指数问卷（Family APGAR Index,APGAR）、术前简易智力状态检查量表（Mini-mental state examination,MMSE）评分；二元Logistic回归分析老年AMI患者PCI术后抑郁的危险因素；通过ROC分析术前APGAR评分、MMSE评分预测老年AMI患者PCI术后抑郁的价值。结果 抑郁组自费、有慢性病、家庭月收入＜5000元占比高于无抑郁组，APGAR、MMSE评分低于无抑郁组（P＜0.05）；二元Logistic回归分析证实，自费、有慢性病、家庭月收入＜5000元，APGAR、MMSE评分均是影响老年AMI患者PCI术后抑郁的危险因素，均有P＜0.05；ROC分析证实，术前APGAR评分、MMSE评分可用于预测老年AMI患者PCI术后抑郁，曲线下面积分别为0.933、0.898，均有P＜0.05。结论 自费、有慢性病、家庭月收入＜5000元，APGAR、MMSE评分均是老年AMI患者PCI术后抑郁的危险因素，认知功能及家庭关怀度不足可能增加其抑郁发生风险。
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| Abstract |
【Abstract】Objective To analyze the correlation of depression and cognitive function in elderly patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Method Retrospective analysis of 100 cases from January 2023 to January 2025 in our hospital clinical data of elderly patients with AMI, on the basis of postoperative 1 month occurrence of depression is divided into the depression group (n = 37), no depression group (n = 63).The general information, preoperative Family APGAR Index questionnaire (APGAR), and preoperative Mini-mental state examination (MMSE) scores of the two groups were compared. Binary Logistic regression analysis of risk factors for depression in elderly AMI patients after PCI; The value of preoperative APGAR score and MMSE score in predicting depression after PCI in elderly AMI patients was analyzed by ROC.Result The proportions of self-funded individuals, those with chronic diseases, and those with a monthly family income of less than 5,000 yuan in the depression group were higher than those in the non-depression group, and the APGAR and MMSE scores were lower than those in the non-depression group (P < 0.05). Binary Logistic regression analysis confirmed that self-payment, having chronic diseases, family monthly income < 5000 yuan, APGAR and MMSE scores were all risk factors affecting depression in elderly AMI patients after PCI, all with P < 0.05. ROC analysis confirmed that preoperative APGAR score and MMSE score could be used to predict depression in elderly AMI patients after PCI. The areas under the curves were 0.933 and 0.898 respectively, both with P < 0.05.Conclusion Self-payment, chronic diseases, family monthly income less than 5,000 yuan, APGAR and MMSE scores are all risk factors for depression in elderly AMI patients after PCI. Insufficient cognitive function and family care may increase the risk of depression.
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