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目的:分析冠心病患者2年中生存率和心血管事件再发率,探讨多种因素对冠心病患者预后的影响。方法:采用DS14中文版、A型行为问卷、应付方式问卷、汉密尔顿抑郁量表和焦虑量表对203名冠心病患者进行测查,并随访2年的生存情况和心血管事件再发情况。结果:①心功能、年龄和D型人格是冠心病患者死亡的独立危险因素。②D型人格、空腹血糖是冠心病患者再发心血管事件的独立危险因素,运动是冠心病患者再发心血管事件的保护因素。结论:冠心病患者预后受生物学和心理社会多种因素影响。
OBJECTIVE: To analyze the 2-year survival rate and recurrence rate of cardiovascular events in patients with coronary heart disease and explore the influence of various factors on the prognosis of patients with coronary heart disease. Methods: A total of 203 coronary heart disease patients were examined using DS14 Chinese version, Type A behavioral questionnaire, coping style questionnaire, Hamilton Depression Scale and Anxiety Scale. The patients were followed up for 2 years and were followed up for recurrence of cardiovascular events. Results: ① Heart function, age and personality D were independent risk factors for death in patients with coronary heart disease. ②D personality, fasting blood glucose is an independent risk factor for recurrent cardiovascular events in patients with coronary heart disease, and exercise is a protective factor of recurrent cardiovascular events in patients with coronary heart disease. Conclusion: The prognosis of patients with coronary heart disease is influenced by many factors of biology and psychology.