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|本期目录/Table of Contents|

心脏X综合征患者焦虑抑郁情况调查分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第1期
页码:
114-116
栏目:
临床研究
出版日期:
2010-01-04

文章信息/Info

Title:
An investigation of depressive and anxiety symptoms among cardiac X-syndrome patients
作者:
冯占斌; 李崇民; 成蕊宁; 袁博; 赵伟
西安市铁路中心医院心内科，陕西 西安 710054
Author(s):
FENG Zhan-bin;  LI Chong-min;  CHENG Rui-ning;  YUAN Bo;  ZHAO Wei
Department of Cardiology, Xi'an Railway Central Hospital, Xi’an 710054, Shaanxi, China
关键词:
心脏X综合征; 焦虑; 抑郁; 调查
Keywords:
cardiac X-syndrome;  anxiety;  depression;  investigation
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的: 调查分析心脏X综合征患者伴发焦虑、抑郁的情况，为心理干预和药物治疗提供依据。方法: 选用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)调查132例CSX患者，统计焦虑、抑郁发病情况，与我国常模进行比较，并从不同文化程度及医疗保险归属方面进行影响分析。结果: CSX患者伴有焦虑和（或）抑郁高达68.9%；SAS评分、SDS评分与我国常模比较，有显著性差异(P<0．01)，不同文化程度、医疗保险归属之间的SAS、SDS评分比较，亦有显著性差异(P<0.01或P<0．05)。 结论: CSX患者多数伴发焦虑和（或）抑郁，且受文化程度和医疗保险归属的影响。
Abstract:
AIM: To investigate psychosocial factors such as depression and anxiety of some cardiac X-syndrome patients and to offer some suggestions for psychological intervention and drug therapy for these patients. METHODS: Zung’s self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the depressive and anxiety symptoms among 132 cardiac X-syndrome patients. Effects of educational level and medical insurance assignment were also explored. RESULTS: The prevalence rate of depressive and anxiety symptoms of cardiac X-syndrome patients was 68.9%. SAS and SDS scores of patients with cardiac X-syndrome were significantly higher compared with Chinese norms (P<0.01) and SAS and SDS scores were significantly different in cardiac X-syndrome patients of different educational levels and medical insurance assignments (P<0.01 and P<0.05). CONCLUSION: Most cardiac X-syndrome patients suffer from anxiety and depression, which are influenced by patients' educational level and medical insurance assignment.

参考文献/References

［1］ Kaski JC, Rosano GM, Collins P, et al. Cardiac syndrome X: clinical characteristics and left ventricular function. longterm follow up study［J］. J Am Coll Cardiol, 1995, 25 (4):807-814.

［2］ Potts SG, Bass CM. Psychological morbidity in patients with chest pain and normal or near-normal coronary arteries: A longterm follow up study［J］. Psychol Med, 1995, 25(2): 339-347.

［3］ Asbury EA, Creed F, Collins P. Distinct psychosocial differences between women with coronary heart disease and cardiac syndrome X［J］. Eur Heart J, 2004, 25(19)：1695-1701.

［4］ 高展,高润霖,陈纪林,等. 心脏X综合征患者长期随访研究［J］. 中华心血管病杂志, 2004, 32 (6):483-485.

［5］ Lichtlen PR, Bargheer K, Wenzlaff P. Long term prognosis of patients with anginalike chest pain and normal coronary angiographic findings［J］. J Am Coll Cardiol, 1995, 25(5):1013-1018.

备注/Memo

备注/Memo:
收稿日期：2008-12-3.基金项目：西安市铁路中心医院科研项目（2006-08） 通讯作者：冯占斌，副主任医师，主要从事心血管疾病研究Email:fengzhanbinsh@sohu.com
更新日期/Last Update: 2010-01-05