ZUNG 抑郁量表在冠心病诊断中的作用

目的：研究ZUNG量表在冠心病中的诊断作用。方法：对临床上所有怀疑冠心病的患者并行冠状动脉造影检查，术前给予ZUNG量表进行评价，同时对40健康人进行ZUNG量表评价，所有住院患者同时进行ECG，HOLTER检查及病史方面评价。结果：①在无高危因素和ECG客观检查正常的患者中ZUNG量表积分明显增高，且抑郁症的检出率高于其他各组，而冠心病检出率却低于除健康对照组的其他各组。②相关性分析：ZUNG量表积分与冠脉病变积分无相关关系。冠心病的患者中抑郁的检出率高于非冠心病组。存在高危因素的患者的抑郁检出率高于健康对照组。结论：ZUNG量表在冠心病的鉴别诊断，尤其排除抑郁导致胸痛，是一项比较有意义的检查手段。

Study on the role of SDS in Diagnosing Coronary Artery Disease

Objective: To study the action of Self-rating Depression Scale(SDS) in diagnosing coronary heart disease(CHD).Methods: 169 with suspected CHD and 40 healthy participants,who were selected from the patients admitted in our hospital during December 2004 to October 2005,were divided into five groups: group 1normal control,n=45),group 2(no definite risk factor and normal ECG,n=40),group 3(no definite risk factor but abnormal ECG,n=41),group 4(definite risk factor and normal ECG,n=40),group 5(definite risk factor and abnormal ECG,n=43).Results: All the participants and their clinical data were evaluated by the Self-rating Depression Scale(SDS) before the coronary angiography(CAG).SDS scores in group 2 increased obviously,with more detection rate of depression(DRD) than the other groups and less detection rate of CHD than the other groups except group 1.There was no correlation between the severity of coronary artery and SDS scores(R=-0.037,P=0.675).The DRD of the patients with high risk factor was higher than that in group 1.Conclusion: SDS is an important method in the diagnosis of CHD,especially for the patients who complain of chest pain induced by depression.