心血管病患者择期介入手术前后焦虑抑郁及影响因素分析

探讨择期介入治疗心血管病患者术前术后焦虑抑郁水平及其影响因素。连续调查我院心内科行择期介入治疗的住院患者100例，分别于术前及术后记录患者静息血压和心率，填写贝克抑郁量表、状态焦虑量表、自制担心评定量表、SF-36生活质量调查问卷；SPSS 17．0软件对焦虑抑郁影响因素进行了统计分析。介入患者术后血压（141．2＆#177;10．6）mmHg /（75．1＆#177;11．9）mmHg 较术前（145．4＆#177;18．0）mmHg/（79．8＆#177;12．2）mmHg 显著下降，心率（72．1＆#177;11．6）次/分也较术前（78．2＆#177;12．9）次/分显著降低；术前患者普遍存在焦虑情绪（43．4＆#177;8．4），焦虑水平与学历、血压及心率均呈正相关（P＜0．05），与年龄、生活质量呈负相关（P＜0．05）；介入术后患者焦虑水平显著下降（41．2＆#177;7．6，P＜0．03）；抑郁水平在手术前后无明显变化。本结果提示择期介入治疗心血管病患者术前存在明显焦虑，焦虑水平与年龄、学历、血压、心率及生活质量密切相关。

An Analyze for Perioperative Anxiety and Depression and the Influencing Factors in Patients for Cardiovascular Selective Interventional Operation

To explore perioperative anxiety and depression and the influencing factors in patients of cardiovascular diseases for selective interventional operation .100 inpatients for selective cardiovascular interventional operation were recruited consecutively .Resting blood pressure and heart rate were recorded ;the Beck depression inventory （BDI） ,state anxiety inventory （STAI） ,self-made worry inventory ,and the SF-36 questionnaire were completed before and after operation on the patients . The data were analyzed using SPSS version 17 .0 . Factors associated with anxiety and depression was evaluated .The Blood pressure （141 .2 ＆#177; 10 .6）mmHg/（75 .1 ＆#177; 11 .9）mmHg vs .（145 .4 ＆#177; 18 .0）mmHg/（79 .8 ＆#177; 12 .2） mmHg and heart rate （72 .1 ＆#177; 11 .6 ）bpm vs .（78 .2 ＆#177; 12 .9）bpm post interventional operation decreased significantly respectively than that before operation .Anxiety ,which is very common in patients before operation ,related to education background ,blood pressure and heart rate ,and inversely related to age and quality of life （QOL ,all were P ＆lt; 0 .05） . There is a significant decrease in anxiety level after operation .No obvious change in depression level before and after operation .The results suggest that patients of cardiovascular diseases for selective interventional therapy before operation suffered evident anxiety . The level of anxiety is related to age , education background , blood pressure , heart rate and QOL .