摘要
目的:研究急性心肌梗死(acutemyocardialinfarction,AMI)患者的心理特征与临床表现的相关性,寻找进行干预的可能性。方法:65例AMI患者入院后7～10d内,接受了临床精神卫生症状自评量表(SCL-90)评估,并与他们的急性期临床表现指标(梗死面积大小和有无并发症)比较。结果:AMI患者SCL-90评估中的躯体化(1.64±0.51)、强迫(1.89±0.43)、抑郁(1.92±0.49)、焦虑(1.84±0.50)、恐怖(1.63±0.42)、偏执(1.71±0.58)和精神病性(1.63±0.43)等因子评分明显高于正常人常模(t=2.129～2.306,P均<0.05)。梗死面积大组(24例)的肌酸激酶同工酶(MBisoenzymeofcreatinekinase,CK-MB)(CK-MB≥150IU/L)和躯体化、强迫、抑郁、焦虑、恐怖和精神病性等因子评分明显高于梗死面积小组(41例)(CK-MB<150IU/L)(t=2.062～2.183,P均<0.05)。AMI有并发症组(43例)的躯体化、强迫、抑郁、焦虑、恐怖、偏执和精神病性等因子评分明显高于无并发症组(22例,t=2.092～2.252,P均<0.05)。结论:AMI患者的精神心理特征与临床表现密切相关,对前者进行有针对性的心理干预很有必要。
AIM:To explore the correlation between physiological characteristics and clin ical manifestation in patients with acute myocardial infarction(AMI), and to dis cuss the possibility of psychological intervention. METHODS:After 7-10 d of being in hospital,65 cases of patients with AMI wer e evaluated by using clinical mental health symptom checklist (SCL- 90),the res ults were compared with their clinical manifestation indices during acute stage( the area of myocardial infarction and had complication or not). RESULTS:The scores of somatization(1.64± 0.51),compulsion(1.89± 0.43),depre ssion(1.92± 0.49),anxiety(1.84± 0.50),terror(1.63± 0.42),paranoid(1.71± 0.58 ) and psychosis(1.63± 0.43) in SCL- 90 in patients with AMI were significantly higher than those of the healthy subjects (t=2.129-2.306,P< 0.05).The score o f somatization,compulsion, depression,anxiety,terror,paranoid and psychosis in S CL- 90 in patients with large infarction areaCorrelation between physiological characteristics and clinical man ifestation in patients with acute myocardial infarction $$$$ Jing- Yu Hou Jing- Yu Hou,Department of Emergence,First Affiliated Hospital,Xinxiang Medi cal College,Xinxiang 453100,Henan Province,China Abstract AIM:To explore the correlation between physiological characteristics and clin ical manifestation in patients with acute myocardial infarction(AMI), and to dis cuss the possibility of psychological intervention. METHODS:After 7-10 d of being in hospital,65 cases of patients with AMI wer e evaluated by using clinical mental health symptom checklist (SCL- 90),the res ults were compared with their clinical manifestation indices during acute stage( the area of myocardial infarction and had complication or not). RESULTS:The scores of somatization(1.64± 0.51),compulsion(1.89± 0.43),depre ssion(1.92± 0.49),anxiety(1.84± 0.50),terror(1.63± 0.42),paranoid(1.71± 0.58 ) and psychosis(1.63± 0.43) in SCL- 90 in patients with AMI were significantly higher than those of the healthy subjects (t=2.129-2.306,P< 0.05).
出处
《中国临床康复》
CSCD
2004年第3期404-405,共2页
Chinese Journal of Clinical Rehabilitation
