【摘要】 目的 探讨心肌梗死后抑郁症出现的时间及影响因素。方法 采用Hamilton抑郁量表对心肌梗死病人进行问卷调查，确定抑郁症患病率及抑郁程度，分析心肌梗死的病程、症状、合并症及治疗与抑郁症的关系。结果 心肌梗死后病程10天、>28天与病程28天比较抑郁症发生率显著升高(均P<0.01);心肌梗死后有心绞痛，心肌梗死合并高血压病或糖尿病抑郁症发生率显著升高(P均<0.01);高脂血症抑郁症发生率也升高(P均<0.05);冠脉介入治疗组抑郁症发生率低(P<0.05)。结论 心肌梗死后抑郁症多在心脏监护中心及离开医院后发生，心绞痛、高血压病、糖尿病、高脂血症是抑郁症危险因素。冠脉介入治疗可降低抑郁症发生率。

    关键词 心肌梗死 抑郁症

    Study of post-myocardial infarction depression

    Yang Haiyu，Yang Chunmei，Zeng Yujie，et al.

    Jiangmen Central Hospital，Guangdong529070.

    【Abstract】 Objective To investigate the time when depression began and influencing factors on post-myˉocardial infarction depression.Methods Patients with myocardial infarction were surveyed by Hamilton depression scale.The incidence of depression of the course，symptoms，accompanied symptoms，the ways of therapy after myocarˉdial infarction were analyzed.Results The incidence of depression in the course of<10days and>28days were higher than that of>10days and<28days(P<0.01)and that myocardial infarction with angina cordis ......