我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

老年冠心病伴抑郁焦虑症患者的临床特点(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2008年第2期
页码:
198-200
栏目:
临床研究
出版日期:
2008-03-20

文章信息/Info

Title:
Clinical features of senile coronary artery disease accompanied with depression and anxiety
作者:
张颖; 杜丽霞; 王红; 朱梅生; 张爱伦
新疆医科大学第一附属医院干部病房，新疆 乌鲁木齐 830054
Author(s):
ZHANG Ying;  DU Lixia;  WANG Hong;  ZHU Meisheng;  ZHANG Ailun
Department of Cadres, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, Xinjiang, China
关键词:
老年; 冠状动脉疾病; 抑郁症; 焦虑症; 临床特点
Keywords:
senile;  coronary disease;  depression;  anxiety;  clinical feature
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 研究老年冠心病不稳定型心绞痛伴抑郁焦虑症患者的临床特点。方法 收集我院年龄≥60岁冠心病不稳定型心绞痛患者90例，其中伴抑郁焦虑症患者39例（A组），不伴抑郁焦虑症患者51例（B组），对两组患者的临床表现以及Holter监测结果进行对比分析。结果 A组患者临床表现中失眠、心悸、乏力、全身颤抖等症状的检出率与B组相比差异有统计学意义(P<0.05)。Holter监测显示，A组患者的室性心律失常、窦性心动过速、缺血性STT改变以及心率变异性（HRV）降低的检出率显著高于B组 (P<0.05)。A组患者HRV时域指标SDNN、RMSSD、PNN50降低与B组相比差异有统计学意义(P<0.05)。结论 伴抑郁焦虑症老年冠心病不稳定型心绞痛患者的失眠、心悸、乏力、全身颤抖等症状较不伴抑郁焦虑症患者明显，HRV减低明显，并且易发生室性心律失常、窦性心动过速及缺血性STT改变。
Abstract:
AIM To investigate the clinical features of senile unstable angina patients accompanied with depression and anxiety. METHODS Ninety senile patients with unstable angina were enrolled in this study. Thirtynine cases with depression and anxiety were assigned to group A and 51 cases without depression and anxiety to group B. Clinical features and Holter reports of the two groups were analyzed. RESULTS Clinical features such as insomnia, palpitation, fatigue and shivering in group A were significantly different from those in group B (P<0.05). Holter reports showed that the incidence of ventricular arrhythmias, ischemic ST segment depression and HRV decrease in group A was significantly higher than that in group B (P<0.05). Decrease of SNDD, RMSSD and PNN50 in group A were significantly different from those in B group (P<0.05). CONCOLUSION Clinical symptoms such as insomnia, palpitation, fatigue and shivering are more obvious in senile unstable angina patients with depression and anxiety. Senile unstable angina patients with depression and anxiety tend to have ventricular arrhythmias and ischemic ST segment depression and obvious decrease of HRV.

参考文献/References

［1］ 汤宜朗,李元吉.抑郁症与心血管疾病关系的若干进展［J］.中国行为医学科学,2001,10(3)：272-277.

［2］ 国际心脏病学会和协会( ISFC)及世界卫生组织(WHO). 临床命名及诊断人联合专题组制定缺血型心脏病命名及诊断［S］.1979

［3］ 中华医学会精神科学会.南京医科大学脑科医院编CCMD2R［M］.南京:东南大学出版社,1995:69-75.

［4］ 张明园.精神科评定量表手册［M］.长沙：湖南科学技术出版社,1998:35-39.

［5］ Barefoot JC,Brummett BH, ClappChanning NE,et al. Moderators of the effect of social support on depressive symptoms in cardiac patients［J］. Am J Cardiol,2000,86(4):438-442.

［6］ Kop WJ,Appels A, Mendes de Leon CF,et al. Vital exhaustion predicts new cardiac events after successful coronary angioplasty［J］. Psychosom Med,1994,56（4）：281-287.

［7］ Rozanski A,Blumenthal JA,Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy［J］. Circulation,1999,99 (16)：2192-2217.

［8］ FrasureSmith N,Lesperance F,Talajic M. Depression and 18month prognosis after myocardial infarction［J］. Circulations,1995, 91(4):999-1005.

［9］ 房爱萍,王昕.伴抑郁症或焦虑症心血管疾病者心率变异性及心律失常分析［J］. 实用心电学杂志, 2005, 14（3）：182-183.

［10］吴京兰,苏又苏,付剑云,等.老年冠心病患者抑郁程度与心肌缺血的关系［J］. 中国临床康复,2005,9(12)：17-19.

备注/Memo

备注/Memo:
收稿日期：2007-01-25.作者简介：张颖,住院医师,硕士Email: yhczyxjmu@163.com
更新日期/Last Update: