PCI术前术后的心理障碍识别与处理

概述冠心病经皮冠状动脉介入治疗（PCI）术前术后患者合并心理障碍的较高发生率以及心理障碍对冠心病发生、发展及预后的影响，分析 PCI 术前术后患者出现焦虑抑郁等心理障碍的原因、产生机制及影响因素，强调心内科医生应及时识别 PCI 术前术后患者出现的心理障碍，并以“双心医学”方式对其进行心理精神医学及心血管专科医学治疗，同时对心血管专科医学治疗效果不明显的冠心病 PCI 患者，进行相关的鉴别诊断后也要进行心理精神医学的诊断和治疗，以便有利于 PCI 术患者的康复和预后，减少不必要的检查和治疗。

Identification and Treatment of Psychological Disorders during the Perioperative Period of PCI

This article outlines the high incidence of coronary heart disease with psychological disorders during percutaneous coronary intervention （PCI） . These psychological disorders influence on development and prognosis of coronary heart disease ,This article analyzes the causes ,mechanisms and factors of anxiety ,depression and other psychological disorders in patients during the operation of PCI .It is high time to appeal heart physicians identify the psychological disorders in patients during PCI .Treat these symptoms by psychology and psychiatry combine cardiovascular medical treatment .That is so-called psychocardiacology .We should diagnosis and treat the patient who had a not obvious curative efficacy treated by PCI and cardiovascular medicine with psychology and psychiatry .In this way ,we can facilitate the rehabilitation and prognosis of patients undergoing PCI ,meanwhile reduce unnecessary medical examination and treatment .