摘要
急性心肌梗死作为心血管病的急症,是冠心病最严重的类型,病死率很高,经皮冠状动脉介入治疗(PCI)是治疗急性心肌梗死的主要方法之一,其大大降低了急性心肌梗死患者院内死亡率,提高了生存质量。但突如其来的疾病和手术对患者的心理产生了负面影响,很多患者伴发焦虑、抑郁等情绪障碍,严重影响患者的预后。因此,临床上在治疗疾病的同时,心理问题同样要给予关注,以减轻患者的负性情绪,改善患者的预后。笔者从阐述急性心肌梗死患者PCI术后焦虑、抑郁患病状况出发,分析焦虑抑郁对患者预后的影响及其机制,从年龄、文化程度、性别、吸烟、介入途径、病情等多个方面对急性心肌梗死PCI术后焦虑和抑郁的相关影响因素进行综述。
Acute myocardial infarction,a cardiovascular emergency,is the most serious type of coronary heart disease and is associated with a high mortality.As one of the main methods to treat acute myocardial infarction,percutaneous coronary intervention(PCI)greatly reduces the hospital mortality and improves the quality of life of patients.However,the sudden illness and surgery exert a negative impact on the psychology of patients.Many patients suffer from anxiety,depression and other emotional disorders,which seriously affect the prognosis.Therefore,in the clinical treatment of disease at the same time,psychological problems should be given attention to reduce the patient’s negative mood,improve the patient’s prognosis.This paper analyzes the influence of anxiety and depression on the prognosis and its mechanism based on the prevalence of anxiety and depression in patients with acute myocardial infarction after PCI.Furthermore,the article reviews the related factors influencing anxiety and depression after PCI in patients with acute myocardial infarction from a variety of aspects,including age,education level,gender,smoking,intervention approach and disease condition.
作者
徐琴
何朝珠
张小雪
樊凰玉
XU Qin;HE Chao-zhu;ZHANG Xiao-xue;FAN Huang-yu(CCU,the First Affiliated Hospital,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;College of Nursing,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;Emergency Department,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China)
出处
《实用临床医学（江西）》
CAS
2020年第11期97-100,共4页
Practical Clinical Medicine
基金
江西省卫健委课题(20203165)。
关键词
急性心肌梗死
经皮冠状动脉介入治疗
焦虑
抑郁
acute myocardial infarction
percutaneous coronary intervention
anxiety
depression
