目的研究老年冠心病人(CHD)焦虑、抑郁障碍的临床意义。方法采用Brink老年抑郁量表(GDS)及Zung焦虑自评量表(SAS)，检查并比较CHD病人(A组)98例、健康组(B组)91人的焦虑抑郁状况。结果A组与B组GDS±S分别为7.83±3.94和6.34±4.17,t=6.14,P<0.001,SAS±S分别为47.60±11.96和46.03±9.13,t="1.204，"P>0.05;两组具有抑郁情绪分别占51.02％和14.23％；具有焦虑情绪分别占70.40％和76.92％。结论CHD患者存在着明显的抑郁焦虑情绪障碍，是影响CHD病情预后的独立危险因素，及时了解其抑郁、焦虑情绪障碍的存在对干预治疗、改善预后、提高生活质量有十分重要意义。%Objective To study anxiety and depression state of CHD in the elderly.Methods 98 elderly CHD cases (group A) and 91 elderly healthy cases (group B) were investigated with Brink's GDS and Zung's SAS.Results The GDS scale of group A and group B was 7.83± 3.94,6.34± 4.17 respectively (p<0.0001). The SAS scale was 47.60± 11.96, 46.03± 9.13 respectively (p>0.05).51.02％ of group A and 14.23％ of group B had depression symptom,while 70.40％ of group A and 76.92％ of group B had anxiety symptom.Conclusion The CHD patients had obvious disturbances of depression and anxiety.To find out these disturbances in time was of high value in improving prognosis and elevating guality of life in CHD patients.
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