中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
10期
77-78
,共2页
抑郁症%老年%急性冠脉综合征%预后
抑鬱癥%老年%急性冠脈綜閤徵%預後
억욱증%노년%급성관맥종합정%예후
Depression%Elderly%ACS%Prognosis
目的：探讨抑郁症对老年急性冠脉综合征患者预后的影响方法选择该院2012年5月—2014年8月期间因急性冠脉综合征急诊入院的患者278例。所有病人入院后行17项汉密尔顿抑郁量表评分,根据结果分为抑郁症组(>16分,82例)及非抑郁症组(≤16分,196例)。所有患者自入选开始,并在心内科门诊随访6个月,观察是否发生下列临床事件：①任何原因的死亡；②由于急性冠脉综合症引起的再次住院治疗；③出现新发或恶化的心力衰竭。结果抑郁症组患者全因死亡、新发或再发心肌梗死、新发或恶化心衰发生率分别为32.97%、35.37%、23.17%,明显高于非抑郁症组,分别为18.37%、20.41%、12.3%,两组比较差异具有统计学意义,P<0.05。结论合并抑郁症的老年急性冠脉综合征患者预后更差,抑郁症是心血管事件的预测指标之一,应及早发现、合理干预。
目的：探討抑鬱癥對老年急性冠脈綜閤徵患者預後的影響方法選擇該院2012年5月—2014年8月期間因急性冠脈綜閤徵急診入院的患者278例。所有病人入院後行17項漢密爾頓抑鬱量錶評分,根據結果分為抑鬱癥組(>16分,82例)及非抑鬱癥組(≤16分,196例)。所有患者自入選開始,併在心內科門診隨訪6箇月,觀察是否髮生下列臨床事件：①任何原因的死亡；②由于急性冠脈綜閤癥引起的再次住院治療；③齣現新髮或噁化的心力衰竭。結果抑鬱癥組患者全因死亡、新髮或再髮心肌梗死、新髮或噁化心衰髮生率分彆為32.97%、35.37%、23.17%,明顯高于非抑鬱癥組,分彆為18.37%、20.41%、12.3%,兩組比較差異具有統計學意義,P<0.05。結論閤併抑鬱癥的老年急性冠脈綜閤徵患者預後更差,抑鬱癥是心血管事件的預測指標之一,應及早髮現、閤理榦預。
목적：탐토억욱증대노년급성관맥종합정환자예후적영향방법선택해원2012년5월—2014년8월기간인급성관맥종합정급진입원적환자278례。소유병인입원후행17항한밀이돈억욱량표평분,근거결과분위억욱증조(>16분,82례)급비억욱증조(≤16분,196례)。소유환자자입선개시,병재심내과문진수방6개월,관찰시부발생하렬림상사건：①임하원인적사망；②유우급성관맥종합증인기적재차주원치료；③출현신발혹악화적심력쇠갈。결과억욱증조환자전인사망、신발혹재발심기경사、신발혹악화심쇠발생솔분별위32.97%、35.37%、23.17%,명현고우비억욱증조,분별위18.37%、20.41%、12.3%,량조비교차이구유통계학의의,P<0.05。결론합병억욱증적노년급성관맥종합정환자예후경차,억욱증시심혈관사건적예측지표지일,응급조발현、합리간예。
[Abstyact]Objective To explore the relevance between depression and prognosis in aged patients with acute coronary artery syndrome(ACS). Methods 278 cases of patients selected from ACS patients diagnosed by department of coronary heart disease in Anyang Third People ,s Hospital from May.2010 to Aug.2012 . According to the scores of hamilton depression scale ,diviele the research object into depression group(>16,n=82)and without depression group (≤16,n=196). Each patient was observed wether occuring the fllowing clinical events: ① death of any cause; ② new-onset or recurrent myocardial infarction; ③ readmission because ACS; ④ new-onset or heart failure deterioration .Results In the hospitalization and follow-up period , there are more cardiovascular events in the patients with depression than those without. The differences between the two groups were significant (P<0.05). Conclusion The aged patients with both ACS and depression had a poorer prognosis. Depression may be one predictors for cardiovascular events of aged patients who with ACS.
