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术前抑郁、焦虑状况与冠状动脉旁路移植术后心血管事件发生的关系
Alternative TitleRelationship between Depression,Anxiety and Cardiac Events after Coronary Artery Bypass Grafting
王忠杰; 高文斌; 李西慧
2009
Source Publication中国心理卫生杂志
ISSN1000-6729
Volume23Issue:2Pages:90-94
Abstract目的:前瞻、序列、对比研究我科行冠状动脉旁路移植术(coronary artery bypass grafting,CABG)的患者术后1年抑郁、焦虑的状况以及心血管事件的发生率。方法:2005年10月至2006年8月,以我科连续行择期CABG术的69例患者为对象,分别在术前1周内、术后出院前1天、术后1年使用ZUNG氏抑郁自评量表和焦虑自评量表进行抑郁、焦虑状态评分,同时随访术后1年的心血管事件的发生率。结果:术前24例(34.8%)存在抑郁焦虑状态,出院前33例(47.8%)存在抑郁焦虑状态,术后1年随访时10例(14.5%)存在抑郁焦虑状态。术后1年随访时共有6例(8.7%)患者发生心血管病事件,其中5例再次入院。术前存在抑郁焦虑的患者与不存在抑郁焦虑的患者相比:术后住院时间延长[(19±8)dvs.(16±6)d,P=0.003],容易出现伤口并发症(3/24vs.0/45,P=0.039),出院前和术后12月随访时不良情绪的发生率较高(分别为75%vs.33%,P=0.001;29%vs.7%,P=0.017);随访时存在抑郁焦虑的患者与不存在抑郁焦虑的患者相比:术前和术后发生心律失常更多见(3/1...
Keyword冠状动脉旁路移植术 抑郁 焦虑 心血管事件 随访 前瞻性研究
Subject Area医学心理学
Language中文
NoteObjective:To prospectively investigate the presence of depression,anxiety symptoms and cardiac events after coronary artery bypass grafting(CABG).Methods:Sixty nine patients who received scheduled CABG were selected consecutively and their depression and anxiety symptoms were assessed with the Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS)before operation,before discharge and 1 year after operation.And cardiac events were also investigated one year after operation.Results:Twenty four patients(34.8%) had depression and/or anxiety symptoms before CABG,33 patients(47.8%) had depression and/or anxiety symptoms before discharge,and 10 patients(14.5%) had depression and/or anxiety symptoms one year after operation.Six patients(8.7%) had cardiac events,and 5 patients were re-admitted.Depression and anxiety symptoms before operation might lead to prolonged length of stay [(19±8)days vs.(16±6)days,P=0.003],more wound complications(3/24 vs.0/45,P=0.039),and higher rates of bad emotions before discharge(75% vs.33%,P=0.001) and one year after operation(29% vs.7%,P=0.017).Those patients with depression and/or anxiety symptoms one year after operation(N=10) had more preoperative arhythmia(3/10 vs.2/59,P=0.019) and more postoperative arhythmia(6/10 vs.2/59;P=0.000),more blood vessel grafted[(3.5±0.5)vs.(3.0±0.9),P=0.049],longer stay in hospital[(24±11)days vs.(16±6)days,P=0.001)],higher rate of anxiety before operation(7/10 vs.3/59,P=0.026) and more cardiac events in follow-up(3/10 vs.3/59,P=0.036).Conclusion:Preoperative bad emotions may delay postoperative recovery.Preoperative bad emotions,serious pathogenetic condition,and cardiac events followed can lead to depression and/or anxiety symptoms one year after operation.Much attention should be paid to this phenomenon.
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/4242
Collection中国科学院心理研究所回溯数据库(1956-2010)
Corresponding Author王忠杰
Recommended Citation
GB/T 7714
王忠杰,高文斌,李西慧. 术前抑郁、焦虑状况与冠状动脉旁路移植术后心血管事件发生的关系[J]. 中国心理卫生杂志,2009,23(2):90-94.
APA 王忠杰,高文斌,&李西慧.(2009).术前抑郁、焦虑状况与冠状动脉旁路移植术后心血管事件发生的关系.中国心理卫生杂志,23(2),90-94.
MLA 王忠杰,et al."术前抑郁、焦虑状况与冠状动脉旁路移植术后心血管事件发生的关系".中国心理卫生杂志 23.2(2009):90-94.
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