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|本期目录/Table of Contents|

急性冠脉综合征患者并发焦虑障碍与冠状动脉狭窄严重程度的相关性

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2015年第2期
页码:
182-185
栏目:
临床研究
出版日期:
2014-10-25

文章信息/Info

Title:
Association between anxiety and severity of coronary artery lesions in patients with acute coronary syndromes
作者:
刘 燕1; 张焕轶1; 王爱萍1; 候 瑞1; 王华义2; 尹鲁骅1; 米培燕1
(1.泰安市中心医院心内科，山东 泰安 271000；
2.莱芜市疾病控制中心，山东 莱芜 271000)
Author(s):
LIU Yan1;  ZHANG Huan-yi1;  WANG Ai-ping1;  HOU Rui1;  WANG Hua-yi2;  YIN Lu-hua1;  MI Pei-yan1
(1.Department of Cardiology, Taian Central Hospital, Taian 271000, Shandong, China；
2.Laiwu Center for Disease Control and Prevention, Laiwu 271100, Shandong, China)
关键词:
急性冠状动脉综合征; 心理因素; 焦虑; 冠状动脉造影; 冠状动脉病变
Keywords:
Acute coronary syndromes;  psychological factor;  anxiety;  coronary artery angiography;  coronary artery lesions
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:探讨急性冠脉综合征(ACS)患者并发焦虑障碍患者焦虑评分与冠状动脉狭窄严重程度的关系。方法:180例ACS患者采用Zung焦虑自评量表(SAS)测试评分，分为焦虑组和非焦虑组，并行冠状动脉造影检查及心脏彩超检查测左室射血分数(LVEF)，对冠状动脉病变狭窄程度进行Gensini评分，分析SAS评分与ACS患者冠状动脉病变评分(Gensini评分)的关系。结果:根据SAS评分将ACS患者分为无焦虑组82例，焦虑组98例(轻度焦虑54例，中度30例，重度14例)。焦虑组冠状动脉病变评分(Gensini评分)为(36±22)分，显著高于无焦虑组Gensini评分（25±13）分(P<0.01)。SAS评分与冠状动脉病变Gensini积分呈正相关(r=0.36，P<0.01)。结论:ACS患者焦虑障碍程度与冠脉病变狭窄程度相关。
Abstract:
AIM:To investigate the association between anxiety and the severity of coronary artery lesions in patients with acute coronary syndromes (ACS). METHODS: Self-rating anxiety scale (SAS) and left ventricular ejection fraction (LVEF) were measured in 180 ACS patients, who were divided into anxiety group and non-anxiety group. All patients underwent coronary artery angiography (CAG) and the severity of coronary artery lesions were estimated by the coronary angiographic Gensini score. Correlations of the SAS score and the Gensini score were analyzed. RESULTS: According to the SAS score, 82 cases were assigned to non-anxiety group and 98 cases (mild 54 cases, moderate 30 cases, severe 14 cases) to anxiety group. The Gensini score in anxiety group was higher than the score in non-anxiety group (36±22 vs. 25±13, P<0.01). The SAS score was correlated with the Gensini score in ACS patients (r=0.36, P<0.01). CONCLUSION: Degree of anxiety is correlated with the severity of coronary artery lesions and has significant prognostic value for patients with ACS.

参考文献/References

[1]许俊堂,胡大一.对急性冠状动脉综合征分型的看法[J].中华心血管病杂志,2001,29(9):57-59.
[2]Doerfler LA,Paraskos JA,posttraumatic SD.And depression in patients with coronary heart disease:a practical review for cardiac rehabilitation professionals[J].J Cardiopulm Rehabil,2004,24(6):414-421.
[3]Zung WW.A rating instrument for anxiety disorders[J].Psychosomatics,1971,12(6):371-379.
[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,1993:122-127.
[5]Takashi W,Tsutomu F,Kentaro F.Ultrasonic correlates of common carotid atherosclerosis in patients with coronary artery disease[J].Angiology,2002,53(2):177-183.
[6]王爱萍,张焕轶,杨曙光,等.急性冠脉综合征患者血清氮末端脑钠尿肽原水平与冠脉病变程度的关系[J].心脏杂志,2011,23(5):629-632.
[7]Olafiranye O,Jean-Louis G,Zizi F,et al.Anxiety as an Independent cardiovascular risk[J].Mind Brain,2011,2(1):32-37.
[8]Kuper H,Marmot M,Hemingway H.Systematic review of prospective cohort studies of psychosocial factors in the etiology and prognosis of coronary heart disease[J].Semin Vasc Med,2002,2(3):267-314.
[9]Damen NL,Pelle AJ,van Geuns RJ,et al.Intra-individual changes in anxiety and depression during 12-month follow-up in percutaneous coronary intervention patients[J].J Affect Disord,2011,134(1-3):464-467.
[10]赵 波,赵云峰,刘 琨,等.冠心病合并焦虑障碍与冠状动脉狭窄严重程度的相关研究[J].医学综述,2011,17(24):3814-3815.
[11]Liu MY,Jiang RH,Hu DY,et al.Emotional disorder in patients with acute or stable coronary heart disease[J].Zhonghua Xin Xue Guan Bing Za Zhi, 2009,37(10):904-907.
[12]Csaba BM.Anxiety as an Independent cardiovascular risk[J].Neuropsychopharmacol Hung,2006,8(1):5-11.
[13]Vural M,Basar E.Anxiety disorder as a potential for sudden death[J].Anadolu Kardiyol Derg,2007,7(2):179-183.
[14]Vlachaki C,Maridaki Kassotaki K.Coronary heart disease and emotional intelligence[J].Glob J Health Sci,2013,5(6):156-165.
[15]Gustad LT,Laugsand LE,Janszky I,et al.Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study[J].Eur Heart J,2014,35(21):1394-1403.

备注/Memo

备注/Memo:
收稿日期：2014-07-25.
通讯作者：王爱萍，副主任医师，主要从事冠心病的诊断与治疗研究 Email：wangaiping006@163.com
作者简介：刘燕，主管护师 Email：liuyanta@163.com
更新日期/Last Update: 2014-11-18