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合并焦虑抑郁对PCI术后患者的炎症及心肌损伤标志物的影响

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目的 探讨合并焦虑抑郁对经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后患者炎症及心肌损伤标志物的影响.方法 纳入2021年5月~2023年6月102例冠心病患者,均采用PCI术治疗,术后第2天进行焦虑、抑郁情绪评估,以评估结果为依据设为焦虑抑郁组以及对照组,比较两组患者血清炎症及心肌损伤标志物,并分析焦虑抑郁与之是否存在线性关系.结果 102例患者术后44例具有焦虑抑郁情绪,焦虑抑郁组血清肌酸激酶同工酶、肌钙蛋白I、超敏C反应蛋白、白介素-10显著高于对照组(P<0.05);焦虑、抑郁评分与炎症及心肌损伤标志物水平呈正相关(P<0.05).结论 合并焦虑抑郁患者PCI术后炎症及心肌损伤标志物水平更高,具有负性情绪的患者炎症反应以及心肌损伤更严重.
The influence of anxiety and depression on inflammation and myocardial injury markers in patients after PCI
Objective To explore the effects of combined anxiety and depression on inflammation and myocardial injury markers after percutaneous coronary intervention(PCI).Methods A total of 102 patients with coronary heart disease were included from May 2021 to June 2023,all treated with PCI surgery.The anxiety and depression on the second day after surgery were evaluated.Based on the evaluation results,they were divided into the anxiety group,the depression group and the control group.The serum inflammation and myocardial injury markers between two groups of patients were compared.whether there is a linear relationship between anxiety and depression were analyzed.Results 44 out 102 patients had anxiety and depression after surgery.The serum creatine kinase isoenzymes(CK-MB),cardiac troponin I(CTnl),hypersensitive C-reactive protein(hs CRP),and interleukin-10(IL-10)in the anxiety and de-pression group were significantly higher than those in the control group(P<0.05).Anxiety and depression scores were positively correlated with levels of inflammation and myocardial injury markers(P<0.05).Conclusion Patients with concomitant anxiety and depression have higher levels of inflammatory and myocardial injury markers after PCI,while patients with negative emotions have more severe inflammatory reactions and myocardial injury.

AnxietyDepressionCoronary heart diseasePercutaneous coronary interventionInflammation,Myocardial damage

李怀超、杨兴伟、张少沛

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河北省退役军人总医院心内科(邢台,054000)

秦皇岛市第一医院急诊科

焦虑 抑郁 冠心病 经皮冠状动脉介入术 炎症 心肌损伤

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)