首页|经皮冠状动脉介入治疗术日间模式对术后抑郁的影响

经皮冠状动脉介入治疗术日间模式对术后抑郁的影响

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目的 对日间模式经皮冠状动脉介入治疗PCI患者以及常规手术模式患者的抑郁发生情况进行比较,分析日间模式是否能减少术后抑郁的发生.方法 分别选取某三甲医院2023年9月1日-2023年10月30日收治的日间PCI 130例患者作为日间组;同期常规住院流程行择期PCI的238例患者作为常规组.患者和常规流程PCI患者,利用倾向评分匹配法均衡两组性别、年龄和冠状动脉总狭窄程度Gensini评分,最终两组各剩下130人进行进一步分析.24项汉密尔顿抑郁量表HAMD进行术后抑郁评定,HAMD评分≥21被评定为术后抑郁.结果 与常规组相比,日间模式并未显著减少术后抑郁的发生率(P>0.05).日间组与常规组术后HAMD评分无统计学意义(14.0±7.9 vs.13.6±7.6,P>0.05).性别和年龄被发现是影响抑郁发生的独立因素,而是否日间手术并不是显著的影响因素.结论 与常规PCI模式相比,当前的研究结果显示日间PCI模式并未显著减少术后抑郁症的发生率,因此加强对患者的心理干预是未来需要关注的重点.
Effect of Daytime Mode of Percutaneous Coronary Intervention on Postoperative Depression
Objectives This study aims to compare the occurrence of depression in patients undergoing percutaneous coronary intervention(PCI)in day mode and in patients treated with conventional surgery,and to analyze whether the day mode can reduce the occurrence of postoperative depression.Methods 130 patients with day PCI admitted to a tertiary hospital from September 1,2023 to October 30,2023 were selected as the day group.During the same period,238 patients who underwent elective PCI during routine hospitalization procedures were included in the routine group.Patients undergoing routine PCI were matched with patients using the propensity score matching method to balance gender,age,and total coronary artery stenosis Gensini score between the two groups.In the end,130 individuals from each group remained for further analysis.The 24-item Hamilton Depression Rating Scale(HAMD)was used to assess postoperative depression.A HAMD score of ≥21 was considered postoperative depression.Results Compared with the conventional group,the day mode did not significantly reduce the incidence of postoperative depression(P>0.05).There was no statistical difference in postoperative HAMD scores between the day group and the conventional group(14.0±7.9 vs.13.6±7.6,P>0.05).Gender and age were found to be independent factors affecting the occurrence of depression,while day surgery was not a significant factor.Conclusions The current study results show that the ambulatory PCI model does not significantly reduce the incidence of postoperative depression compared with the conventional PCI model.Therefore,strengthening psychological intervention for patients is the focus of future attention.

Percutaneous coronary interventionDay case surgeryDepression

赵熠、程德梅

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首都医科大学附属北京安贞医院,北京市,100029

经皮冠状动脉介入治疗 日间手术 抑郁

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(7)
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