中文摘要：

目的：探讨急性心肌梗死（AMI）患者情感障碍情况及其人格分型。方法：随机选择AMI患者63例（心梗组）及患者健康家属63例（健康对照组）,对其进行焦虑自评量表（SAS）、抑郁自评量表（SDS）、艾森克人格问卷中国简式量表（EPQ-RSC）评分,评价其情感障碍的发生情况及人格分型。结果：与健康对照组比较,心梗组SAS[（32.91±4.08）分比（59.71±13.81）分]及抑郁严重度[SDS总分/80,（0.42±0.06）分比（0.47±0.09）分]评分明显升高（P均〈0.01）;AMI患者人格分型中胆汁质型比例（15.87%比68.25%）明显增加,抑郁质型（20.64%比3.18%）和黏液质型（34.92%比1.59%）比例明显减少,P均〈0.01。结论：冠心病患者易伴发抑郁、焦虑等情感障碍,人格分型中以胆汁质最多见。重视精神因素和人格分型的影响,对情感障碍进行干预,对胆汁质人群定期检查,有助于预防冠心病。

英文摘要：

Objective：To explore affective disorder condition and personality types in patients with acute myocardial infarction（AMI）.Methods：A total of 63 AMI patients and 63 healthy family members of patients were randomly selected as AMI group and healthy control group respectively.All subjects received assessments of self-rating anxiety scale（SAS）,selfrating depression scale（SDS）and Eysenck personality questionnaire-revised Short Scale for Chinese（EPQ-RSC）,then their occurrence of affective disorder and personality types were evaluated.Results：Compared with healthy control group,there were significant rise in SAS score[（32.91±4.08）scores vs.（59.71±13.81）scores]and depression severity[total SDS score/80,（0.42±0.06）scores vs.（0.47±0.09）scores],P〈0.01both;significant rise in percentage of choleric temperament（15.87%vs.68.25%）,and significant reductions in percentages of melancholic temperament（20.64%vs.3.18%）and phlegmatic temperament（34.92%vs.1.59%）in AMI group,P〈0.01 all.Conclusion：CHD patients are prone to affective disorders like anxiety and depression etc.,and the most frequent personality type is choleric temperament.Attention on mental factors and influence of personality types,interfering affective disorders and periodic examination on population with choleric temperament may help to prevent CHD.