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热门期刊: 细胞研究(英文版)中华医学杂志(英文版)国际临床研究杂志

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关于女性老年冠心病并发抑郁症的临床探讨

Clinical study on the female elderly patients with coronary heart disease complicated with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

天津市安定医院 ;
山东大学齐鲁医院 ;
山东省精神卫生中心 ;

摘要
【摘要】:目的:分析并了解女性老年冠心病患者并发抑郁症的发病情况、临床特点。方法:于2012年1月~2014年3月,抽取100例女性老年冠心病患者作为此次研究的对象,应用汉密尔顿抑郁评分量表进行评估,根据评估结果分为冠心病合并抑郁症组(观察组)和冠心病未合并抑郁症组(对照组),分析冠心病合并抑郁症的临床症状、发生原因,并对比两组患者的动态心电图监测结果和死亡情况。结果:女性老年冠心病合并抑郁症的发病率为54%,其临床症状主要为抑郁情绪、睡眠障碍、兴趣减退等,发生原因与家庭关系、社会支持有关。动态心电图监测结果显示,与对照组相比,观察组的室性心律失常、房性心律失常以及缺血性ST-T波段改变等发生率均明显更高(P<0.05)。随访发现,与对照组相比,观察组的两年内死亡率明显更高(P<0.05)。结论:女性老年冠心病患者并发抑郁症的概率较高,其预后较差,临床上应对该疾病患者进行积极有效的治疗。
[Abstract]: Objective: to analyze and understand the incidence and clinical features of depression in elderly patients with coronary heart disease. Methods: In January 2012~ March 2014, 100 patients with coronary heart disease were selected as the object of the study, and the Hamilton Depression Rating Scale was used to evaluate, According to the evaluation results ,100 patients were divided into coronary heart disease with depression group (observation group) and coronary heart disease without depression group (control group), to analyze the clinical symptoms and causes of coronary heart disease combined with depression, and to compare the results of dynamic ECG monitoring and the death of the two groups. Results: The incidence of coronary heart disease in women with depression was 54%, the main clinical symptoms were depression, sleep disorders, interest, and so on. The reason was related to family relationship and social support. Dynamic ECG monitoring results showed, compared with the control group, the observation group of ventricular arrhythmias, atrial arrhythmias and ischemic ST-T band changes were significantly higher (P<0.05). Follow-up found, compared with the control group, the mortality rate was significantly higher in the observation group (P<0.05). Conclusion: The female elderly patients with coronary heart disease patients with high probability of depression, the prognosis is poor, the clinical response to the disease patients with active and effective treatment.
关键词
【关键词】:女性老年冠心病;抑郁症;临床特点;汉密尔顿抑郁评分量表
[Keywords]: female elderly patients with coronary heart disease; depression; clinical characteristics; Hamilton Depression Rating Scale
基金项目
页码 461-463
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