CAJ | 학술논문

目的：探讨冠状动脉血管病变患者的焦虑、抑郁状况，为临床干预提供依据。方法对98例冠状动脉血管病变患者采用焦虑自评量表和抑郁自评量表进行测评分析，并根据冠状动脉造影结果判定冠状动脉血管病变程度。结果本组冠状动脉血管病变患者焦虑、抑郁情绪检出率分别为30．6％和43．9％；女性患者焦虑自评量表总分显著高于男性患者（ P＜0．05）。本组冠状动脉粥样硬化16例，冠心病82例；冠心病患者抑郁情绪检出率显著高于冠状动脉粥样硬化患者（P＜0．01）；回归分析显示，抑郁、性别和焦虑是罹患冠心病的危险因素。结论本组冠状动脉血管病变患者焦虑、抑郁情绪检出率较高，焦虑、抑郁情绪是罹患冠心病的危险因素。
목적：탐토관상동맥혈관병변환자적초필、억욱상황，위림상간예제공의거。방법대98례관상동맥혈관병변환자채용초필자평량표화억욱자평량표진행측평분석，병근거관상동맥조영결과판정관상동맥혈관병변정도。결과본조관상동맥혈관병변환자초필、억욱정서검출솔분별위30．6％화43．9％；녀성환자초필자평량표총분현저고우남성환자（ P＜0．05）。본조관상동맥죽양경화16례，관심병82례；관심병환자억욱정서검출솔현저고우관상동맥죽양경화환자（P＜0．01）；회귀분석현시，억욱、성별화초필시리환관심병적위험인소。결론본조관상동맥혈관병변환자초필、억욱정서검출솔교고，초필、억욱정서시리환관심병적위험인소。
Objective To Explore anxiety and depression status in patients with coronary artery disease (CAD) in order to provide basis for clinical intervention .Methods Assessments were conducted wit the Self‐rating Anxiety Scale (SAS) and Self‐rating Depression Scale (SDS) in 98 CAD patients and CAD se‐verities determined according to coronary angiography results .Results Anxiety and depression detection rate in the patients were respectively 30 .6% and 43 .9% ;the total score of the SAS was significantly high‐er in female than in male patients (P<0 .05) .Sixteen of them were coronary atherosclerosis (CAS) and 82 coronary heart disease (CHD);the detection rate of depressive emotion was significantly higher in CHD than in CAS patients (P<0 .01);regression analysis showed that depression ,gender and anxiety were risk factors of CHD .Conclusion The anxiety and depression detection rate are higher in the patients and risk factors of CHD depression ,gender and anxiety.