介入性治疗急性冠脉综合征患者焦虑情绪及综合干预效果研究  

Study about the anxious emotion in patients with acute coronary syndrome treated with interventional therapy

作　　者：孙巧玲[1] 王得霞[1] 任宏生[1] 

机构地区：[1]山东大学附属山东省立医院,济南250021

出　　处：《精神医学杂志》2011年第4期267-268,共2页Journal of Psychiatry

摘　　要：目的探讨介入性治疗急性冠脉综合征患者焦虑情绪的发生率和防治措施。方法 150例急性冠脉综合征患者分为进行经皮冠脉介入干预治疗(实验组)90例,未进行冠脉介入干预治疗(对照组)60例,均采用汉密尔顿焦虑量表(HAMA)进行评分,有焦虑情绪者采用压力管理-自我形象-抚触和抗焦虑综合治疗。结果实验组患者焦虑情绪的发生率显著高于对照组(P<0.01),治疗后HAMA评分较疗前显著下降(P<0.05),抗焦虑治疗有效率75%。结论焦虑情绪在经皮冠脉介入干预治疗急性冠脉综合征患者的发生率非常高,影响经皮冠脉介入干预的近期效果,采用压力管理-自我形象-抚触和抗焦虑综合治疗效果显著。Objective To investigate the prevalence and preventive - therapeutic measures of anxious emotion in patients with Acute Coronary Syndrome （ACS） treated with Percutaneous Coronary Intervention （PCI）. Methods A total of 150 patients with ACS were divided into study group （90 cases） treated with PCI and control group （60 cases） treated with other therapies. All patients were evaluated with Hamilton Anxiety Scale （HAMA）. Patients combined with anxiety received anti - anxiety treatment, which consisted of stree management - imagery - touch therapy and antianxietics. Results The frequency of anxiety in stduy group was significantly higher than that in control group （80% vs. 15% ,P 〈0.01 ）. Score of HAMA after anti -anxiety treatment decreased significantly when compared with the baseline （P 〈 0.05 ）, the effective rate of anti - anxiety treatment was 75%. Conclusion The frequency of anxious emotion in ACS patients treated with PCI is very high, which could influence the short - term efficacy of PCI. Stree management -imagery -touch therapy combining with antianxietics can effectively improve the problems.

关 键 词：急性冠脉综合征经皮冠脉介入干预治疗 焦虑情绪 压力管理-自我形象-抚触治疗 抗焦虑药物 

分 类 号：R543.3[医药卫生—心血管疾病] R395.6[医药卫生—内科学]