CAJ | 학술논문

目的：探讨冠心病PCI治疗与抑郁、焦虑情绪对患者的影响。方法：在冠心病PCI治疗前、后，应用SDS、SAS量表对患者进行抑郁、焦虑程度测评，用统计方法评价PCI术前、术后SDS和SAS积分变化的意义。结果：112例冠心病PCI治疗患者，术前焦虑者58例(51.79%)、抑郁者32例(28.57%)，与术后1周焦虑者65例(58.04%)、抑郁者28例(25.00%)比较差异无统计学意义(P＞0.05)；术后6月焦虑者76例(67.86%)与术前、术后1周比较差异均有统计学意义(P＜0.05)，且中度焦虑患者22例(19.64%)，较术前人数增加，其差异有统计学意义(P＜0.05)；术后6月患抑郁者36例(32.14%)，与术前、术后1周比较差异均无统计学意义(P＞0.05)，但中度抑郁者16例(14.29%)，较术前增加，其差异有统计学意义(P＜0.05)。结论：成功的冠脉介入治疗不能有效改善冠心病患者焦虑或抑郁情绪，且随着术后病程的延长，抑郁、焦虑的程度会加重，从而影响冠心病PCI治疗的远期疗效。
목적：탐토관심병PCI치료여억욱、초필정서대환자적영향。방법：재관심병PCI치료전、후，응용SDS、SAS량표대환자진행억욱、초필정도측평，용통계방법평개PCI술전、술후SDS화SAS적분변화적의의。결과：112례관심병PCI치료환자，술전초필자58례(51.79%)、억욱자32례(28.57%)，여술후1주초필자65례(58.04%)、억욱자28례(25.00%)비교차이무통계학의의(P＞0.05)；술후6월초필자76례(67.86%)여술전、술후1주비교차이균유통계학의의(P＜0.05)，차중도초필환자22례(19.64%)，교술전인수증가，기차이유통계학의의(P＜0.05)；술후6월환억욱자36례(32.14%)，여술전、술후1주비교차이균무통계학의의(P＞0.05)，단중도억욱자16례(14.29%)，교술전증가，기차이유통계학의의(P＜0.05)。결론：성공적관맥개입치료불능유효개선관심병환자초필혹억욱정서，차수착술후병정적연장，억욱、초필적정도회가중，종이영향관심병PCI치료적원기료효。
Objective: To explore the influence of PCI, depression and anxiety on the patients with coronary heart disease (CHD). Methods: The degrees of depression and anxiety in CHD patients were assessed by SDS and SAS before and after treating with PCI, the changes of SDS and SAS scales were judged before and after PCI with statistical method. Results: There were 112 CHD patients treated with PCI, 58 cases suffering from anxiety before surgery (51.79%) and 32 cases with depression (28.57%), it had no statistical meaning compared with 65 cases of anxiety (58.04%) and 28 cases of depression (25.00%) in one week after the surgery (P>0.05); there were 76 pa-tients with anxiety in six months after the surgery (67.86%), it demonstrated statistical meaning compared with the numbers before the surgery and in one week after the surgery (P<0.05), and 22 cases of moderate anxiety (19.64%), the number was increased compared with that before surgery, it presented statistical meaning (P<0.05); 36 cases with depression in six months after the surgery (32.14%), it had no statistical meaning compared with the number be-fore surgery, in one week after the surgery (P>0.05), but 16 cases with moderate depression (14.29%), it was in-creased compared with that before the surgery, it had statistical meaning (P<0.05). Conclusion: Successful PCI can't effectively improve depression and anxiety of CHD patients, as the course of the disease prolonged after the surgery, depression and anxiety would aggravate, and affect long-term effects of PCI therapy in treating CHD.