The Study Of Anxiety Depression After Coronary Stent Implantation And The Correlation Study Of TCM Constitution

Objective:Through clinical investigation cases, study after stent implantation in patients with coronary heart disease were combined and factors that influence the incidence of depression, anxiety, and to investigate after coronary stent implantation patients with anxiety, depression, constitution of traditional Chinese medicine syndrome type distribution, and different constitution of traditional Chinese medicine of coronary heart disease (CHD) patients after stent implantation combined the incidence of anxiety, depression, and to explore its related factors. Stent implantation for coronary heart disease angina pectoris patients after the prevention and treatment of anxiety depression provide new ideas and methods.Methods:1、As in cardiology,400 cases of coronary heart disease angina pectoris and quasi patients undergoing coronary angiography;2、Trained investigators (mainly the medical graduate student) to guide the client to complete self-evaluation of anxiety, TCM constitution decision table table, depression self rating scale SAS, SDS and other three forms, and record, determine the patient’s physique type and client depression, anxiety score calculation. Remove some prior to the coronary artery angiography showed obvious state of depression or anxiety of patients;3、According to the result of coronary is and whether met inclusion and exclusion criteria of coronary artery disease, according to whether patients with stent placement in patients with coronary heart disease can be divided into two groups:the stent group of 92 cases, stent group 140 cases. To patients in stable condition after (usually for 3 to 7 days) once again by the self-assessment lists of anxiety (SAS), depression self rating scale (SDS) on patients with item by item, ask and score to assess the current state of depression, anxiety;4、The questionnaire and to all the former data review, the use of Excel software, SPSS18.0 software using analysis of variance, and Logistic regression analysis method for statistical analysis。Results:(1) 140 patients with coronary heart disease a pectoris after stent implantation overall incidence of 45.71%,31.43% incidence of anxiety, were significantly higher than that of control group (P<0.05);(2) The SDS scores of female than for male, with statistical difference (P= 0.006< 0.001).Women are coronary heart disease angina pectoris merge depression after stent implantation in patients with risk factors;(3) Coronary heart disease pectoris patients after stent implantation home merge depression in traditional Chinese medicine physique, physical distribution as the qi deficiency and blood stasis quality= gas quality> quality of damp and hot phlegm wet mass> Yang= mass Yin deficiency, qi deficiency blood stasis, mass transfer, mass, qi depression is qualitative, most (50%), secondly, respectively is hot and humid, phlegm wet mass, Yang deficiency, Yin deficiency, Yang deficiency and Yin deficiency of quality, and the incidence of depression in patients with the least, the incidence of depression was 0.00%.(4) Coronary heart disease pectoris patients after stent implantation home merger of traditional Chinese medicine physique anxiety, physical distribution of traditional Chinese medicine for the deficiency of qualitative> air quality, and the blood stasis quality> quality of damp and hot phlegm wet mass> Yang= mass Yin deficiency, qi deficiency of mass, most (100%), followed by qi depression are qualitative and qualitative, hot and humid, phlegm and blood stasis wet mass, Yang deficiency, Yin deficiency, Yang deficiency and Yin deficiency of quality, and the incidence of anxiety in patients with the least, the incidence of depression was 0.00%.(5) Stent group and non stenting patients with preoperative anxiety depression score was statistically significant, postoperative patients with depression and anxiety score stent group were significantly higher than theConclusion:(1) Coronary heart disease pectoris patients after stent implantation is no stenting in patients with higher incidence of anxiety and depression.(2) Women is coronary heart disease angina pectoris stent implantation after merge depression in patients with risk factors.(3) Qi deficiency and blood stasis, mass transfer, mass transfer, qi depression in patients with coronary heart disease angina pectoris nature stent implantation after merging the highest incidence of depression,50%; Deficiency of quality home in patients with coronary heart disease angina pectoris stent implantation with the highest incidence of anxiety,100%.