冠脉造影阴性结论对抑郁患者心理状态影响.docVIP

冠脉造影阴性结论对抑郁患者心理状态影响 　　【摘要】 目的：探讨经皮冠状动脉造影术（coronary arteriograph，CAG）阴性结论与患者抑郁程度的关系。方法：选取2015年12月-2017年3月在本科住院且首次进行CAG的抑郁患者96例，根据CAG结果分为研究组（CAG阴性结论）40例和对照组（CAG阳性结论）56例。应用汉密尔顿抑郁量表（HAMD）对两组术前、术后的抑郁状态进行评分，比较两组一般资料及术前、术后的HAMD评分。结果：两组均无精神病家族史、负性家庭生活事件；两组年龄、性别、空腹血糖、甘油三酯、低密度脂蛋白胆固醇、冠心病（coronary disease，CAD）家族史、脑血管意外史、吸烟、酗酒比较，差异均无统计学意义（P0.05）；但两组高血压病史比较，差异有统计学意义（P0.05）；研究组术前、术后的抑郁评分分别为（13.70±4.11）、（5.40±3.02）分，比较差异有统计学意义（P0.05）；对照组分别为（9.44±3.07）、（16.06±4.30）分，比较差异有统计学意义（P0.05）。结论：CAG阴性结论的抑郁患者的抑郁评分较术前降低，对减轻抑郁患者的抑郁程度是有益的。 　　【关键词】 抑郁； 冠心病； 经皮冠状动脉造影术 　　【Abstract】 Objective：To investigate the relationship between the negative results of coronary arteriograph（CAG） and the degree of depression in patients.Method：96 cases of depression who were hospitalized for CAG for the first time from December 2015 to March 2017 were selected，according to CAG results，they were divided into 40 cases of study group（CAG negative conclusion） and 56 cases of control group（CAG positive conclusion）.Hamilton Depression Scale（HAMD） was used to assess the depression status of two groups before and after operation，the general data of two groups were compared，the HAMD scores before and after operation were compared.Result：There was no family history of psychosis and negative family life events of two groups，the age，sex，fasting blood glucose，triglyceride，low density lipoprotein cholesterol，family history of coronary disease（CAD），history of cerebrovascular accident，smoking and alcohol abuse of two groups were compared，the differences were not statistically significant（P0.05）；the hypertension history of two groups were compared，the difference was statistically significant（P0.05）.The HAMD scores before and after operation of study group were（13.70±4.11） points and（5.40±3.02） points respectively，the difference was statistically significant（P0.05），and control group were（9.44±3.07） points and（16.06±4.30） points respectively，the difference was statistically significant（P0.05）.Conclusion：Depression scores in pati