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目的探讨慢性完全闭塞性冠状动脉病变(CTO)患者冠状动脉支架植入术(PCI)后抑郁症状的相关因素。方法共计353例CTO并接受PCI术后患者,存在抑郁症状的140例患者为研究组,而无抑郁症状的213例为对照组,问卷评定采用汉密尔顿抑郁量表、艾森克个性问卷及社会支持评定量表。结果 CTO患者PCI术后的抑郁症状检出率为39.66%。研究组的E维度因子分评分显著低于对照组(P<0.05),而研究组的N维度因子分评分显著高于对照组(P<0.05)。研究组的客观支持、主观支持、利用度因子评分显著低于对照组(P<0.05)。结论慢性完全闭塞性冠状动脉病变患者冠状动脉支架植入术后存在较严重的抑郁症状,其与患者的人格特征及社会支持等因素有关。
Objective To investigate the related factors of depressive symptoms after coronary stenting (PCI) in patients with chronic total occlusive coronary artery disease (CTO). Methods Totally 353 CTO patients were enrolled in the study. 140 patients with depressive symptoms were treated as study group and 213 patients without depressive symptoms as control group. The Hamilton Depression Rating Scale, Eysenck Personality Questionnaire and Social Support Rating scale. Results The detection rate of depressive symptoms after PCI in CTO patients was 39.66%. The E dimension score of the study group was significantly lower than that of the control group (P <0.05), while the N dimension score of the study group was significantly higher than that of the control group (P <0.05). The objective support, subjective support and utilization factor score of the study group were significantly lower than those of the control group (P <0.05). Conclusion Patients with chronic total occlusive coronary artery disease have more severe depressive symptoms after coronary stent implantation, which is related to the personality traits and social support of patients.