论文部分内容阅读
目的对急诊胸痛患者心理状态进行评估以及分析急诊胸痛患者的临床体征,为急诊胸痛患者的治疗提供科学支持和理论指导。方法选取我院2015年1月至2016年8月接受急诊胸痛患者治疗的患者301例,对我院急诊胸痛患者心理状态进行评估,评估患者心理状态采用汉密顿焦虑量表和汉密顿抑郁量表,汉密顿焦虑量表英文名为:Hamilton anxiety scale,hama汉密顿抑郁量表英文名为:Hamilton depression rating Scale-17HAMD-17。对心源性胸痛和非心源性胸痛的临床特征和发病原因进行对比分析。结果我院2015年1月至2016年8月接受急诊胸痛患者治疗的患者301病例中,CCP有155例,占51.5%,NCCP有146例,占48.5%,所有患者大都表现为焦虑抑郁,CCP组中肯定焦虑是NCCP组的1.87倍,CCP组中肯定抑郁症是NCCP组的2.53倍。结论 CCP患者的焦虑发生率高,同时抑郁状态也很普遍,对于CCP患者的治疗时必要情况下应给予药物治疗,对其给予心理干预,对患者造成的伤害较小,较为安全,能有效除低病死率,有效降低心血管事件的发病率。
Objective To evaluate the psychological status of emergency chest pain patients and analyze the clinical signs of emergency chest pain patients, and provide scientific support and theoretical guidance for the treatment of emergency chest pain patients. Methods A total of 301 patients undergoing emergency chest pain in our hospital from January 2015 to August 2016 were selected to evaluate the psychological status of patients with chest pain in our hospital. The psychological status of the patients was assessed using the Hamilton Anxiety Scale and Hamilton Depression Scale, Hamilton anxiety scale English name: Hamilton anxiety scale, hama Hamilton depression scale English name: Hamilton depression rating Scale-17HAMD-17. The clinical features and pathogenesis of cardiogenic chest pain and non-cardiac chest pain were compared. Results Among the 301 patients treated in our hospital from January 2015 to August 2016, there were 155 cases of CCP (51.5%), NCCP (146 cases), accounting for 48.5% of the total. Most of the patients showed anxiety and depression and CCP Positive anxiety in the group was 1.87 times that in the NCCP group, and affirmative depression in the CCP group was 2.53 times more than in the NCCP group. Conclusion The incidence of anxiety in CCP patients is high and depression is also common at the same time. For patients with CCP, medication should be given when necessary, psychological intervention should be given to them, which is less harmful to patients, safer and effective. Low mortality, effectively reduce the incidence of cardiovascular events.