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急性心肌梗死患者出现短暂精神障碍临床分析 被引量:4

Clinical analysis of the occurrence of transient mental disorder in patients with acute myocardial infarction
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摘要 目的探讨急性心肌梗死(AMI)患者出现短暂精神障碍的临床特点及预后。方法2002年9月~2006年5月共有462例AMI后存活患者入选,年龄26~92岁,男252例,女210例,ST段抬高性心肌梗死(STEMI)271例、非ST段抬高性心肌梗死(NSTEMI)191例。统计分析并发精神障碍类型、主要临床表现、出现及持续的时间、转归及预后。分析比较不同性别、年龄、心肌梗死类型患者精神障碍发生情况。结果82例(17.7%)患者住院期间出现短暂精神障碍,年龄62~92岁。不同性别患者精神障碍发生率无显著性差异(P>0.05),不同梗死类型发生率有显著性差异(STEM发生率22.5%,NSTEM发生率11.0%,P<0.01)。患者精神障碍多在AMI发病后30min内出现,表现为意识障碍、情感障碍或妄想性障碍,持续2~10d,常突然好转,精神基本转为正常。门诊或电话随访3个月无1例复发。所有患者住院期间无1例死亡。结论急性心肌梗死患者可合并短暂精神障碍,老年人多见。STEMI发生率显著高于NSTEMI患者。可以自然缓解,预后未发现有不良倾向。 Objective:To study the clinical characters and prognosis of transient mental disorder in patients with acute myocardial infarction(AMl).Methods:From Sep.2002 to Mar.2006,462 AMI patients,aging from 26 to 92 years old,were enrolled.To survey the type,the time of incidence and persistence, the turnover and the prognosis of the mental disorder after AMI.To compare the incidence rate of transient mental disorder after AMI between male and female,STEMl and NSTEMI,and age difference.Results:Transient mental disorder occurred in 82 of all patients,aging from 62 to 92 years old,the total incidence rate of transient mental disorder was 17.7%,40 female,42 male, 61cases of STEMI and 21 cases of NSTEMI and the incidence rate of transient mental disorder were 19.0%,16.7%, 22.5% and 11.0% respectively.There was no significant variance of incidence rate between male and female (P〉0.05),whereas, the variance between STEMI and NTSEMI was significant (P〈0.01).The symptoms of mental disorder often occurred within 30 minutes after AMI,manifesting as conscious disturhance,affective disturbance or delusional disorder.The mental disorder often lasted for 2 to 10 days,then,took a favorable turn to normal abruptly.No recurrence happened during the 3 months followed up by telephone or out-patient clinic, and nobody died during the hospital stay.Conclusion:The patients with AM] may complicate transient mental disorder, the old is more susceptible,the incidence rate have no significant variance between female and male,whereas the variance is significant between STEMI and NSTEMI.The mental disorder can relieve naturally, and no bad tendency of the prognosis is observed at present.
出处 《中日友好医院学报》 2007年第3期147-149,共3页 Journal of China-Japan Friendship Hospital
关键词 急性心肌梗死 精神障碍 acute myocardial infarction mental disorder
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参考文献14

  • 1Frasure-Smith N,Lesperance F,Talajic M.Depression and 18-month prognosis after myocardial infarction[J].Circulation,1995,91:999-1005. 被引量:1
  • 2贾红,韩璐.CCU患者的心态与护理[J].黑龙江护理杂志,2000,6(3):17-18. 被引量:1
  • 3张萱,徐厚道,青华,赵海洋,焦觅知.以严重精神障碍为主要表现的冠心病心绞痛误诊原因分析[J].华北国防医药,2005,17(5):334-335. 被引量:4
  • 4Stone HP,Krantz DS,McMahon RP,et al.Relationship among mental stress induced ischemia and ischemia during daily life and during exercise:the psychophysiologic investigation of myocardial ischemia study[J].J AM Coll Cardiol,1999,33:1476-1484. 被引量:1
  • 5沈渔邨主编..精神病学[M].北京:人民卫生出版社,1997:1179.
  • 6David CS,K.Ranga Rama Krishnan,Casey Crump,et al.Cerebrovascular disease and evolution of depressive symptoms in the cardiovascular health study[J].Stroke,2002,33:1636-1644. 被引量:1
  • 7黄兆同,张淑贞,贾国良.CCU病房患者应激状态下发生精神异常2例[J].第四军医大学学报,2000,21(6):744-744. 被引量:3
  • 8Frasure-Smith N,Lesperance F,Talajic M.Depression following myocardial infarction[J].JAMA,1993,270:1819-1825. 被引量:1
  • 9Berkman LF,Blumenthal J,Burg M,et al.Effects of treating depression and low perceived social support on clinical events after myocardial infarction:the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD)Randomized Trial[J].JAMA,2003,289:3106-3116. 被引量:1
  • 10Glassman AH,O'Connor CM,Califf RM,et al.Sertraline antidepressant heart attack randomized trial (SADHART)group.Sertraline treatment of major depression in patients with acute MI or unstable angina[J].JAMA,2002,288:701-709. 被引量:1

二级参考文献8

  • 1徐斌,医学心理学,1998年,156页 被引量:1
  • 2陈昌惠,精神病学(第3版),1995年,82页 被引量:1
  • 3Hiral T, Fujita M, Nakajima H,et al. Importance of collateral circulation for prevention of left ventricular aneurysm formation in acute myocardial infarction [ J ]. Circulation, 1989,79:791-796. 被引量:1
  • 4Vanverschelde JL, Wijins W, Depre C. Mechanisms of chronic regional postischemic dysfunction in humans. New insights from the study of noninfarcted collateral-dependent myocardium [ J ]. Circulation, 1993,87:1513-1523. 被引量:1
  • 5Cook DG, Shaper AG. Breathlessness, angina pectoris, and coronary heart diseasse [ J ]. Am J Cardiol, 1989,63: 921-926. 被引量:1
  • 6King MJ,Zir LM ,Kaltman AJ,et al. Variant angina associated with angiograghically demonstrated coronary spasm and REM sleep[ J]. Am J Med Sci, 1973,265:419. 被引量:1
  • 7Habib GB,Heibig J,Forman SA,et al. Influence of coronary collateral myocardial on myocardial infarct size in humans.Results of phase I thrombolysis in myoardial infarction ( TIMI) trial. The TIMI Investigators [ J ]. Circulation, 1991,83:739 -746. 被引量:1
  • 8李文增,赵富宝.急性心肌梗死首发症状与发病年龄、伴随病的相关分析[J].中华心血管病杂志,2002,30(10):633-633. 被引量:7

共引文献5

同被引文献31

  • 1杨园园,洪黛玲,陈建军.急性冠状动脉综合征患者抑郁的研究现状[J].中国行为医学科学,2006,15(4):383-384. 被引量:12
  • 2中华人民共和国卫生部.中国健康知识传播激励计划[DB/OL].(2008-04-11)[2010-10-11].http://www.moh.gov.cn/publicfiles/business/htmlfiles/mohjbyfkzj/pgzdt/200804/19103.html. 被引量:3
  • 3汪向东,王希林,马弘,等.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999. 被引量:1990
  • 4Kim J, Hart JY, Shaw B, et al. The roles of social support and coping strategies in predicting breast cancer patients' emotional well - being: testing mediation and moderation models [ J ]. J Health Psychol, 2010, 15 ( 4 ) : 543-552. 被引量:1
  • 5Huffman JC, Smith FA, Blais MA, et al. Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac complications after acute myocardial infarction [ J 1. J Psychosom Res, 2008, 65(6) : 557-563. 被引量:1
  • 6Frasure-Smith N, Lesperance F, Talajic M. Depression and 18- month prognosis after myocardial infarction [ J ]. Circulation,1995,91 (4) :999-1005. 被引量:1
  • 7Carney RM, Freedland KE, Steinmeyer B, et al. History of de- pression and survival after acute myocardial infarction [ J ]. Psy- chosom Med, 2009, 71 (3) : 253-259. 被引量:1
  • 8Bush DE, Ziegelstein RC, Tayback M, et al. Even minimal symptoms of depression increase mortality risk after acute myocar- dial infarction[ J]. Am J Cardiol. 2001.88(4) :337-341. 被引量:1
  • 9Thornton LA. Depression in post-acute myocardial infarction pa- tients J. J Am Acad Nurse Pract, 2001, 13(8) :364-367. 被引量:1
  • 10Coyle MK. Depressive symptoms after a myocardial infarction and self-care[J]. Arch Psychiatr Nurs, 2012, 26(2) :127-134. 被引量:1

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