经皮冠状动脉介入治疗术后患者合并情绪障碍的现况调查

摘要

Objective To analyze the depression status,the main features and prognosis of patients after percutaneous coronary intervention.Methods 128 patients were chose after PCI, and 102 cases of the same age and healthy people were chose as control group, using Beck depression questionnaire( BDI-II scale), patient health status questionnaire-9( PHQ-9 scale)and DS I4 questionnaire.Results The rate of depression in PCI group was 59.4％, and it was 10.8％ in control group.There was significant difference between the two groups(P ＜0.05).The BDI-Ⅱ score of PCI group was significantly higher than that of control group( P ＜0.01 ).The incidence of D-type character was 78.1％.Conclusion The incidence of depression after percutaneous coronary intervention was high, and it had an adverse impact on the occurrence,development and prognosis of coronary heart disease.The person who had D-type character is susceptible to get depression.%目的 分析经皮冠状动脉介入治疗术后患者精神抑郁的发病情况、主要特征和高危因素以及与预后的相关性.方法 选择冠脉介入治疗术后患者128例和同年龄段对照组102例,采用Beck抑郁自评问卷(BDI-II量表)、患者健康状况问卷-9(PHQ-9量表)及DS14问卷进行调查.结果 PCI组、对照组的精神抑郁率分别为59.4%、10.8%,两组比较差异有统计学意义(P<0.05).PCI组BDI-II评分明显高于对照组(P<0.05).PCI组D型性格的发生率为78.1%.结论 精神抑郁在冠脉介入术后患者中发生率高,对冠心病的发生、发展及预后有不良影响.D型性格易患抑郁.