目的:探讨早年创伤经历、状态-特质焦虑与冠心病的关系.方法:对51例冠心病患者(冠心病组)、23例非冠心病胸痛患者(非冠心病组)及60名正常对照者(正常对照组)进行早年创伤问卷简表(ETI-SF)及状态-特质焦虑量表(STAI)问卷调查并比较分析冠状动脉狭窄与ETI-SF、STAI评分的关系. 结果:ETI-SF总分及普通创伤、躯体创伤评分3组间比较差异有统计学意义(F=24.625,F=12.125,F=7.098;P均<0.01);冠心病组ETI-SF总分显著高于非冠心病组及正常对照组(F=0.565,F=-0.823;P均<0.01);普通创伤分、躯体创伤分、情感虐待分显著高于正常对照组(F=0.588,F=0.469,F=0.436;P均<0.01).STAI中特质焦虑评分3组间差异有统计学意义(F=4.730,P=0.01);冠心病组状态焦虑、特质焦虑得分显著高于正常对照组(F=4.021,F=4.932;P<0.05或P<0.01).ETI-SF评分与冠脉狭窄程度正相关(r=0.387,P<0.01).结论:冠心病患者具有明显的焦虑倾向;早年创伤经历与冠状动脉狭窄程度有关.%Objective:To explore the relationship between early trauma experience,state-trait anxiety and coronary heart disease(CHD).Method:fifty one patients with coronary heart disease(CHD group),23 patients with chest pain instead of coronary heart disease(non-CHD group) and 60 normal people(normal control group) were assessed with early trauma inventory-short form(ETI-SF) and state-trait anxiety inventory(STAI).The relationship between coronary artery stenosis and ETI-SF and STAI score was analyzed.Results:The differences of ETI-SF score and the common trauma,physical trauma scores among the 3 groups were statistically significant(F=24.625,F=12.125,F=7.098;all P<0.01).ETI-SF score of CHD group was significantly higher than non-CHD group and normal control group(F=0.565,F=-0.823;P<0.01).General trauma score,physical trauma score and emotional abuse score of CHD group were significantly higher than normal control group(F=0.588,F=0.469,F=0.436;P<0.01).The differences of trait anxiety score in STAI among the 3 groups were statistically significant(F=4.730,P<0.01).The scores of state anxiety and trait anxiety in CHD group were significantly higher than those in normal control group(F=4.021,F=4.932;P<0.05 or P<0.01).ETI-SF score was positively correlated with the degree of coronary stenosis(r=0.387,P<0.01).Conclusion:Patients with coronary heart disease have obvious anxiety tendency.The early trauma experience is related to the degree of coronary artery stenosis.
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