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[目的]分析西北地区冠心病患者的心理状况,探讨冠心病与焦虑、抑郁症的关系。[方法]随机选取938例疑似冠心病患者和126例明确诊断为冠心病的患者并进行冠脉造影以明确冠脉病变,采用SAS、SDS量表测试并比较冠心病及非冠心病的患者焦虑、抑郁情况。[结果]冠心病患者与非冠心病患者中焦虑、抑郁症状存在统计学差异。女性就诊患者中冠心病假阳性率高于男性,男性患者冠脉阳性率高,而焦虑、抑郁症低于女性。有冠心病的患者12～24个月复查造影提示有焦虑症患者病变进展较无焦虑症患者冠脉进展快。[结论]抑郁焦虑状态促进了冠心病的发展。
[Objective] To analyze the psychological status of patients with coronary heart disease in Northwest China and explore the relationship between coronary heart disease and anxiety and depression. [Methods] A total of 938 patients with suspected coronary heart disease and 126 patients with definite diagnosis of coronary heart disease were selected randomly and underwent coronary angiography to confirm the coronary artery disease. SAS and SDS were used to measure and compare the anxiety of patients with coronary heart disease and non-coronary heart disease Depression. [Results] The anxiety and depression symptoms in patients with coronary heart disease and non-coronary heart disease were statistically different. False positive rate of coronary heart disease in female patients was higher than that of male patients. The positive rate of coronary arteries in male patients was high, while the anxiety and depression were lower than those in female patients. Coronary heart disease patients 12 to 24 months review of angiography prompted patients with anxiety disease progression than non-anxiety patients with coronary progression faster. [Conclusion] Depression and anxiety promote the development of coronary heart disease.