围绝经期妇女心律失常与焦虑的相关性分析

Analysis of the Correlation between Arrhythmia and Anxiety in Perimenopausal Women

摘要: 目的：探究围绝经期妇女心律失常的发生情况与焦虑状态之间是否存在相关性。方法：选取2024年07月至2025年10月就诊于内蒙古自治区人民医院门诊心电图室的围绝经期妇女患者160例，依据常规12导联心电图检查结果，按照有无心律失常分为观察组(心律失常组)和对照组(无心律失常组)，每组各80例。采用焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)评估两组焦虑状态，通过回顾性观察研究设计，运用Spearman相关性分析、多因素二元Logistic回归模型进行数据分析，探讨围绝经期妇女心律失常与焦虑的关联。结果：Spearman相关分析显示，SAS评估的焦虑状态与心律失常存在相关性(r = 0.389, p < 0.001)；HAMA评估的焦虑状态与心律失常存在相关性(r = 0.351, p < 0.001)。多因素二元Logistic回归分析显示，SAS评分确定的焦虑状态单独影响心律失常发生，OR值为5.278 (2.630~10.591) (p < 0.05)；HAMA评分确定的焦虑状态单独影响心律失常发生，OR值为4.914 (2.509~9.628) (p < 0.05)。围绝经期妇女心律失常的发生与不同焦虑状态的程度呈正相关。结论：围绝经期妇女心律失常的发生与其不同焦虑状态的程度具有显著相关性，焦虑是围绝经期妇女发生心律失常的独立危险因素。

Abstract: Objective: Investigating the Correlation Between the Incidence of Arrhythmia in Perimenopausal Women and Their Anxiety Levels. Methods: A total of 160 perimenopausal women who visited the outpatient electrocardiography department of Inner Mongolia Autonomous Region People’s Hospital between July 2024 and October 2025 were selected. Based on conventional 12-lead electrocardiogram results, they were divided into an observation group (arrhythmia group) and a control group (non-arrhythmia group) according to the presence or absence of arrhythmia, with 80 cases in each group. Anxiety levels in both groups were assessed using the Self-Rating Anxiety Scale (SAS) and the Hamilton Anxiety Rating Scale (HAMA). Employing a retrospective observational study design, data analysis utilized Spearman correlation analysis and a multivariate binary logistic regression model to investigate the association between arrhythmia and anxiety in perimenopausal women. Results: Spearman correlation analysis revealed that anxiety status assessed by the SAS scale was correlated with arrhythmia (r = 0.389, p < 0.001); anxiety status assessed by the HAMA scale was also correlated with arrhythmia (r = 0.351, p < 0.001). Multivariate binary logistic regression analysis revealed that anxiety status determined by SAS scores independently influenced arrhythmia occurrence, with an OR of 5.278 (2.630~10.591) (p < 0.05). Anxiety status determined by HAMA scores independently influenced arrhythmia occurrence, with an OR of 4.914 (2.509~9.628) (p < 0.05). The occurrence of arrhythmia in perimenopausal women was positively correlated with varying degrees of anxiety status. Conclusion: The occurrence of arrhythmias in perimenopausal women is significantly correlated with varying degrees of anxiety, which serves as an independent risk factor for arrhythmias in this population.