| 冠状动脉旁路移植术后患者抑郁焦虑状况及对生存质量的影响 |
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| 引用本文： | 李汉钊,凌云鹏,陈彧,刘曦,赵舟,董穗欣.冠状动脉旁路移植术后患者抑郁焦虑状况及对生存质量的影响[J].医学与哲学,2014(7):70-73. |
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| 作者姓名： | 李汉钊 凌云鹏 陈彧 刘曦 赵舟 董穗欣 |
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| 作者单位： | 北京大学人民医院心脏外科,北京100044 |
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| 摘 要： | 研究选取2008年至2010年在我院接受冠状动脉旁路移植术（CABG）并完整填写术后半年、1年、2年抑郁焦虑自评量表（SDS 、SAS）及 SF-36问卷的患者，得出 CABG 术后2年内抑郁的发生率为32．4％，术后半年、1年、2年分别为29．4％、27．7％、23．6％。 CABG 术后2年内焦虑的发生率为18．2％，术后半年、1年、2年分别为14．7％、16．9％、7．9％。在术后生存质量的比较中，得出术后半年、1年、2年情感障碍组患者的生存质量要明显比非情感障碍组差。抑郁焦虑症状的高发生率，及其明显地降低了 CABG 术后患者的生存质量，提示临床医生须对冠心病及 CABG 术后患者的心理健康予以足够的重视。
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| 关 键 词： | 冠状动脉旁路移植术 抑郁 焦虑 生存质量 |
The Morbidity of Depression and Anxiety and Its Impact on the Quality of Life After Off -pump Coronary Artery Bypass Grafting |
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| Institution: | LI Han-Zhao, LING Yun-Peng, CHEN Yu,et al. (Department of Cardiac Surgery, People＇s Hospital of Peking University, Beijing 100044, China) |
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| Abstract: | Our research picked 148 patients who completed self-rating depression scale ,self-rating anxiety scale ,SF-36 form after 6 months ,1 year and 2 years of CABG between November 2008 and September 2010 .Then we analyzed their scores .The incidence of depression is 32 .4% ,and the incidence at 6 months ,1 year ,2years after CABG are 29 .4% , 27 .7% ,23 .6% respectively .the incidence of anxiety is 18 .2% ,and the incidence at 6 months ,1 year ,2years after CABG are 29 .4% ,27 .7% ,23 .6% respectively .At 6 months after CABG ,affection disorder group had lower QOL score than the group without affection disorder .Depression and anxiety frequently happened in patients after CABG ,and obviously , depression and anxiety reduced the patients＆#39;QOL .Our findings suggest that doctors should pay enough attention to the mental health of post-CABG patients . |
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| Keywords: | coronary artery bypass grafting depression anxiety quality of life |
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