Objective To explore the mental status and clinical characteristics of patients with acute chest pain. Methods From February 2012 to February 2015, 287 cases of patients with chest pain in emergency department of the hospi-tal were selected, according to the etiology, they were divided into cardiaa chest pain group ( CCP group, n =67 cases) and non-cardiac chest pain group ( NCCP group, n =220 cases) .The Hamilton anxiety scale ( HAMA) and the Hamilton depres-sion rating table (HAMD-17) were used to assess the psychological state of the patients in the two groups, HAMA score >14 points, HAMD 17 score >7 points were used to be determined as anxiety and depression, compared the two groups’ patients’ psychological state and its clinical characteristics.Results The average age of the patients in the NCCP group was (42.1 ± 10.8) years old, which was younger than those in CCP group (56.7 ±12.3) years old ( t =-1.847, P <0.05); CCP group’s mean HAMA score (13.24 ±4.28) was significantly lower than in NCCP group (16.54 ±5.85points, t =2.293, P <0.05); CCP group’ s anxiety and depression rate were 40.3% (27/67) and 29.9% (20/67), NCCP group were 66.4%(146/220) and 29.5% (65/220), NCCP group’ s incidence of anxiety was significantly higher than that of CCP group (χ2 =4.394, P <0.05), NCCP group’s patients’s fear of death, fear, hyperventilation, feeling out of control, numb-ness and other symptoms were significantly higher than CCP group, and the occurrence of more than 4 kinds of symptoms were higher than CCP group ( P <0.05), NCCP group’s course more than 6 months’ proportion was significantly higher than CCP group (χ2 =4.904, P <0.05).Conclusion The anxiety state of emergency patients with chest pain is more prominent, the majority was patients with NCCP, and the clinical features included younger age, no obvious abnormalities of ECG, the char-acteristics symptoms associated with chest pain.%目的：探讨急诊胸痛患者心理状态和临床特征。方法选取2012年2月—2015年2月急诊收治的胸痛患者287例，按照病因分为心源性胸痛组（CCP组， n ＝67）和非心源性胸痛组（NCCP组， n ＝220）。采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD-17）评估2组患者的心理状态，以HAMA评分＞14分、HAMD-17评分＞7分判定为肯定焦虑和肯定抑郁，比较2组患者的心理状态及临床特征。结果 NCCP组患者平均年龄为（42�．1±10．8）岁，小于CCP组的（56．7±12．3）岁（ t ＝－1．847， P ＜0．05）；CCP组平均HAMA评分（13．24±4．28）分明显低于NCCP组（16．54±5．85）分（ t ＝2．293， P ＜0．05）；CCP组肯定焦虑和肯定抑郁发生率分别为40．3％（27／67）、29．9％（20／67），NCCP组患者分别为66．4％（146／220）、29．5％（65／220），NCCP组的肯定焦虑发生率明显高于CCP组（χ2＝4．394， P ＜0．05）；NCCP组患者死亡恐惧、害怕、过度换气、失控感及手脚麻木等伴随症状发生率明显高于CCP组，且发生4种以上伴随症状的比例明显高于CCP组（ P ＜0．05）；NCCP组患者病程≥6个月的比例明显高于CCP组（χ2＝4．904， P ＜0．05）。结论急诊胸痛患者的焦虑心理状态比较突出，大多数为NCCP患者，且临床特征为年龄相对较轻，心电图无明显异常，胸痛发作时特征性伴随症状较多。
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