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目的：探讨冠状动脉血管病变患者的焦虑、抑郁状况，为临床干预提供依据。方法对98例冠状动脉血管病变患者采用焦虑自评量表和抑郁自评量表进行测评分析，并根据冠状动脉造影结果判定冠状动脉血管病变程度。结果本组冠状动脉血管病变患者焦虑、抑郁情绪检出率分别为30．6％和43．9％；女性患者焦虑自评量表总分显著高于男性患者（ P＜0．05）。本组冠状动脉粥样硬化16例，冠心病82例；冠心病患者抑郁情绪检出率显著高于冠状动脉粥样硬化患者（P＜0．01）；回归分析显示，抑郁、性别和焦虑是罹患冠心病的危险因素。结论本组冠状动脉血管病变患者焦虑、抑郁情绪检出率较高，焦虑、抑郁情绪是罹患冠心病的危险因素。“,”Objective To Explore anxiety and depression status in patients with coronary artery disease (CAD) in order to provide basis for clinical intervention .Methods Assessments were conducted wit the Self‐rating Anxiety Scale (SAS) and Self‐rating Depression Scale (SDS) in 98 CAD patients and CAD se‐verities determined according to coronary angiography results .Results Anxiety and depression detection rate in the patients were respectively 30 .6% and 43 .9% ;the total score of the SAS was significantly high‐er in female than in male patients (P<0 .05) .Sixteen of them were coronary atherosclerosis (CAS) and 82 coronary heart disease (CHD);the detection rate of depressive emotion was significantly higher in CHD than in CAS patients (P<0 .01);regression analysis showed that depression ,gender and anxiety were risk factors of CHD .Conclusion The anxiety and depression detection rate are higher in the patients and risk factors of CHD depression ,gender and anxiety.