合并焦虑对急性心肌梗死患者院前延误及预后的影响
Effect of comorbid anxiety on prehospital delay and prognosis in patients with acute myocardial infarction
范存永 1马光 1宋志明 1张涵1
作者信息
- 1. 河南大学第一附属医院(开封,475000)
- 折叠
摘要
目的 探讨合并焦虑对急性心肌梗死患者院前延误及预后的影响.方法 本研究观察对象为2021年1月～2022年12月收治的86例急性心肌梗死患者,入院后采用焦虑自评量表(SAS)评估焦虑情绪并设为焦虑组以及非焦虑组,比较两组患者决定时间、转运时间、院前延误时间,比较经皮冠状动脉介入治疗(PCI)后左心室射血分数(LVEF)增加值、主要心血管不良事件(MACE)发生率.结果 86例急性心肌梗死检出焦虑48例,检出率55.81％;焦虑组决定时间、院前延误时间均显著高于非焦虑组(P＜0.05),转运时间差异无统计学意义(P＞0.05);焦虑组术后LVEF增加值显著低于非焦虑组,MACE发生率显著高于非焦虑组(P＜0.05).结论 合并焦虑会增加急性心肌梗死患者院前延误时间,并对近期预后造成不良影响.
Abstract
Objective To investigate the impact of comorbid anxiety on prehospital delay and prognosis in pa-tients with acute myocardial infarction.Methods Eighty-six patients with acute myocardial infarction from January 2021 to December 2022 were the study objects.Anxiety was assessed on admission using the Self-Assessment Scale for Anxiety(SAS)and set as anxiety disorder as well as non-anxiety disorder.To compare the time to decision,time to transport,and pre-hospital delay between the two groups.To compare the increase in left ventricular ejection fraction(LVEF)and the incidence of major adverse cardiovascular events(MACE)after percutaneous coronary intervention(PCI).Results Forty-eight cases of anxiety were detected in 86 cases of acute myocardial infarction,with a detec-tion rate of 55.81％.Decision time and pre-hospital delay time were significantly higher in the anxiety group than in the non-anxiety group(P＜0.05).The difference in transfer time was not statistically significant(P＞0.05).The postop-erative LVEF increase was significantly lower in the anxious group than in the non-anxious group,and the incidence of MACE was significantly higher than in the non-anxious group(P＜0.05).Conclusion Comorbid anxiety increases prehospital delay in patients with acute myocardial infarction and adversely affects the immediate prognosis.
关键词
焦虑/急性心肌梗死/院前延误/预后Key words
Anxiety/Acute myocardial infarction/Prehospital delay/Prognosis引用本文复制引用
基金项目
河南省医学科技攻关计划(联合共建)项目(LHGJ20210570)
2022年度开封市科技发展计划项目(2207001)
出版年
2024
NETL
NSTL
万方数据