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目的:了解高原地区常见心血管疾病伴焦虑抑郁的检出及分布情况,提供临床参考。方法:对新入院并确诊为心血管疾病的患者141例,采用综合医院焦虑抑郁(HAD)量表测试分析。结果:141例中检出焦虑抑郁80例,总检出率为56.74%,检出率从高到低依次为肺心病(83.72%)、冠心病(59.46%)、心律失常(39.13%)、高血压(34.21%);肺心病组焦虑抑郁症检出率明显高于心律失常组和高血压组(P<0.05);辅以氟哌噻吨美利曲辛口服并联合心理治疗的总有效率为93.8%,其中显效率27.5%、好转率66.3%。结论:高原地区常见心血管疾病中伴焦虑抑郁者以肺心病为最多,与肺心病系缺氧性疾病及环境低氧叠加,对疾病以及认知功能和心理影响密切相关,“双心”干预治疗有较好效果。
Objective: To find out the prevalence and distribution of common cardiovascular diseases with anxiety and depression in the plateau area and provide clinical reference. Methods: One hundred and fourteen patients newly admitted to hospital and diagnosed with cardiovascular disease were tested with HAD scale in General Hospital. Results: 80 cases of anxiety and depression were detected in 141 cases, with a total detection rate of 56.74%. The detection rate was 83.72%, coronary heart disease (59.46%), arrhythmia (39.13%), (34.21%). The detection rate of anxiety and depression in patients with pulmonary heart disease was significantly higher than those in patients with arrhythmia and hypertension (P <0.05). There was no difference between the two groups Efficiency was 93.8%, of which markedly effective rate of 27.5%, improvement rate of 66.3%. Conclusions: The most common cardiovascular diseases in the plateau area are pulmonary heart disease, with hypoxia disease and hypoxic hypoxia in the cardiopulmonary disease, which are closely related to the disease, cognitive function and psychological impact. Intervention treatment has a good effect.