双心诊疗模式对急性心肌梗死患者预后的影响  

Effects of psycho-cardiology treatment model on prognosis in patients with acute myocardial infarction

作　　者：张润峰[1] 胡大一[2] 高文根[2] 邢燕[3] 魏毅东[3] 

机构地区：[1]四川省绵阳市第三人民医院心血管内科,四川绵阳621000 [2]北京大学人民医院心脏中心,北京100016 [3]同济大学心肺血管中心,上海200092

出　　处：《中国当代医药》2011年第25期15-17,共3页China Modern Medicine

基　　金：四川省绵阳市卫生局科研课题(200904)

摘　　要：目的:探讨双心诊疗模式对急性心肌梗死(AMI)患者临床预后的影响。方法:对60例AMI患者,随机分为双心诊疗组和对照组,各30例。两组患者均接受常规治疗,双心诊疗组在此基础上,由心理医生给予患者心理疏导与心理治疗。在12个月的随访期间,记录两组患者左室射血分数(LVEF),以及12个月内累积心血管事件。结果:双心诊疗组LVEF以及再发心肌梗死、因心力衰竭再入院、心绞痛再次发作、恶性心律失常等心血管事件均低于对照组。结论:双心诊疗模式的应用可以改善AMI患者预后。Objective：To observe the effects of psycho-cardiology treatment model on clinical prognosis in patients with acute myocardial infarction（AMI）.Methods：Sixty AMI patients were selected,and were randomized in a 1：1 ratio to psycho-cardiology treatment group（n=30） and control group（n=30）.Both groups were given routine therapy.Psycho-cardiology treatment group was given specific psychological guaidance and treatment in addition to the basic treatment.Left-ventricular ejection fraction（LVEF）,cardiovascular events were recorded at 12 months＇ follow-up.Results：There were significant difference comparing LVEF and cardiovascular events between psycho-cardiology treatment group and control group.Conclusion：Psycho-cardiology treatment model should be used in AMI patients,and can effectively improve clinical prognosis.

关 键 词：急性心肌梗死 双心诊疗模式 预后 影响 

分 类 号：R541.1[医药卫生—心血管疾病]