急性心肌梗死患者PCI术后合并抑郁焦虑情绪的研究进展
Research Progress on Depression and Anxiety in Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention Surgery
DOI: 10.12677/acm.2024.1441224, PDF,   
作者: 吴昊天, 贾玉平：华北理工大学研究生学院，河北 唐山；刘晓堃*：唐山市工人医院，河北 唐山
关键词: 急性心肌梗死；经皮冠状动脉介入治疗；抑郁；焦虑；Acute Myocardial Infarction； Percutaneous Coronary Intervention； Anxiety； Depression
摘要: 急性心肌梗死(Acute myocardial infarction, AMI)是一种在临床实践中经常出现的危急重症。随着人口老龄化、饮食模式的转变以及各种社会心理压力等因素，中国AMI患病率正逐年升高。经皮冠状动脉介入治疗(Percutaneous coronary intervention, PCI)是目前治疗AMI的重要手段，介入治疗的应用，具有能迅速打通闭塞血管、迅速恢复心脏供血和减少心肌细胞损伤的显著优势，极大的提高了心肌梗死患者的存活率。然而，介入术后患者抑郁、焦虑情绪的发生率均高于正常人群，同时抑郁、焦虑情绪也可能会增加患者发生主要不良心血管事件(Major adverse cardiovascular events, MACE)的风险。因此，医生在处理临床疾病的同时，不仅要专注于疾病治疗的本身，还应该充分考虑患者可能出现的负性情绪，诸如抑郁、焦虑等。进而创造一个良好的医疗环境，改善患者预后。本文对急性心肌梗死患者PCI术后抑郁焦虑的现状及影响因素，以及它对预后的影响进行综述。
Abstract: Acute myocardial infarction (AMI) is a frequently encountered critical and severe condition in clinical practice. With factors such as population aging, changes in dietary patterns, and various social psychological stresses, the incidence of AMI in China is rising year by year. Percutaneous coronary intervention (PCI) is currently an important means of treating AMI. The application of interventional treatment has significant advantages such as quickly opening occluded blood vessels, rapidly restoring cardiac blood supply, and reducing myocardial cell damage, which greatly improves the survival rate of patients with myocardial infarction. However, the incidence of post-interventional depression and anxiety in patients is higher than that in the normal population, and these emotional states can also increase the risk of adverse cardiovascular events (Major adverse cardiovascular events, MACE). Therefore, while treating clinical diseases, doctors should not only focus on the disease treatment itself but also take into full consideration the negative emotions that patients may experience, such as depression and anxiety. Furthermore, they should create a positive medical environment to improve the prognosis for patients. This article provides an overview of the current state and influencing factors of post-PCI depression and anxiety in patients with acute myocardial infarction, as well as its impact on prognosis.
文章引用：吴昊天, 贾玉平, 刘晓堃. 急性心肌梗死患者PCI术后合并抑郁焦虑情绪的研究进展[J]. 临床医学进展, 2024, 14(4): 1775-1781. https://doi.org/10.12677/acm.2024.1441224

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