Chen Yao, Qiu Yuan-gang, Zhu Jian-hua, Zheng Ping, Chen Jun-zhu, Zhang Fu-rong, Zhao Li-li, Tao Qian-min, Zheng Liang-rong
Department of Cardiology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2006 Aug;34(8):714-7.
We previously showed that factorial score of somatization, which was obtained by the examination of symptom checklist-90 (SCL-90), was higher in patients received transfemoral coronary catheterization than norm. The aim of the present study was to compare the patient's psychologic status between transradial approach and transfemoral approach percutaneous coronary catheterizations.
A total of 198 inpatients (105 transfemoral, 93 transradial) underwent scheduled first time coronary catheterizations were enrolled. All patients were studied by symptom SCL-90 on present psychologic status 24 hours before and 24-48 hours after coronary catheterizations.
Age, sex, weight, smokers, employment, educational background, marriage status, family relations, family history of cardiovascular disease, income and medical insurance status were similar between the two groups. There was also no difference in diabetes, hypertension history as well as coronary heart disease confirmed by coronary catheterization between the 2 groups. Compared with the status before the procedure, factorial scores of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, global severity index and total positive symptoms were significantly reduced after percutaneous coronary catheterizations (1.50 +/- 0.51 vs. 1.64 +/- 0.53, 1.50 +/- 0.48 vs. 1.67 +/- 0.55, 1.28 +/- 0.41 vs. 1.38 +/- 0.49, 1.42 +/- 0.43 vs. 1.55 +/- 0.53, 1.38 +/- 0.41 vs. 1.58 +/- 0.54, 1.32 +/- 0.35 vs. 1.44 +/- 0.41, 1.38 +/- 0.34 vs. 1.49 +/- 0.42, and 23.08 +/- 17.30 vs. 27.72 +/- 18.79, respectively, P all < 0.05). Scores on somatization, depression and positive symptom severity index were significantly lower in patients received transradial coronary catheterizations than those received transfemoral coronary catheterization approach (1.52 +/- 0.51 vs. 1.62 +/- 0.53, 1.43 +/- 0.54 vs. 1.54 +/- 0.43 and 2.36 +/- 0.66 vs. 2.50 +/- 0.43, respectively, P all < 0.05).
Patients' psychologic status improved significantly after percutaneous coronary catheterizations. Improvement on psychologic status is significantly better in patients underwent transradial coronary catheterizations than that underwent transfemoral coronary catheterizations.
我们之前的研究表明，通过症状自评量表90（SCL - 90）检查得出的躯体化因子得分，经股动脉冠状动脉导管插入术患者高于正常水平。本研究旨在比较经桡动脉途径与经股动脉途径经皮冠状动脉导管插入术患者的心理状态。
共有198例计划首次进行冠状动脉导管插入术的住院患者入组（105例经股动脉，93例经桡动脉）。所有患者在冠状动脉导管插入术前24小时及术后24 - 48小时通过症状自评量表90对当前心理状态进行研究。
两组患者的年龄、性别、体重、吸烟者、就业情况、教育背景、婚姻状况、家庭关系、心血管疾病家族史、收入及医疗保险状况相似。两组患者的糖尿病、高血压病史以及经冠状动脉导管插入术确诊的冠心病情况也无差异。与术前状态相比，经皮冠状动脉导管插入术后躯体化、强迫、人际敏感、抑郁、焦虑、敌对、总体严重程度指数及阳性症状总分均显著降低（分别为1.50±0.51对1.64±0.53、1.50±0.48对1.67±0.55、1.28±0.41对1.38±0.49、1.42±0.43对1.55±0.53、1.38±0.41对1.58±0.54、1.32±0.35对1.44±0.41、1.38±0.34对1.49±0.42以及23.08±17.30对27.72±18.79，P均<0.05）。经桡动脉冠状动脉导管插入术患者的躯体化、抑郁及阳性症状严重程度指数得分显著低于经股动脉冠状动脉导管插入术患者（分别为1.52±0.51对1.62±0.53、1.43±0.54对1.54±0.43以及2.36±0.66对2.50±0.43，P均<0.05）。
经皮冠状动脉导管插入术后患者心理状态显著改善。经桡动脉冠状动脉导管插入术患者心理状态的改善明显优于经股动脉冠状动脉导管插入术患者。
