心理干预对慢性充血性心力衰竭伴抑郁患者心功能的作用  

The role of psychological intervention on depression and cardiac function in patients with chronic congestive heart failure

作　　者：郭道保[1,2] 林沛文[1,2] 潘泽盛[1,2] 李志杰[1,2] 杨建民[1,2] 平广豫[1,2] 李运珍[1,2] 蓝新平[1,2] 李锐清[1,2] 

机构地区：[1]广东药学院附属第二医院 [2]广州新海医院心内科,广东广州510300

出　　处：《中国医学工程》2012年第8期26-27,29,共3页China Medical Engineering

摘　　要：目的探讨心理干预对慢性充血性心力衰竭(CHF)伴抑郁患者抑郁情绪及心功能的影响。方法慢性充血性心力衰竭(CHF)伴抑郁诊断的患者,随机分成两组:心理干预组和对照组各45例。对照组给予常规心血管药物治疗,干预组则在常规心血管药物治疗的基础上进行综合心理干预,抑郁情绪严重者服用适量抗抑郁药物,疗程3个月。结果 (1)治疗3个月后,治疗组抑郁程度较对照组明显减轻(P<0.01);(2)治疗组(NYHA)心功能分级、LVEF比对照组改善更明显(P<0.05)。结论对慢性充血性心力衰竭(CHF)伴抑郁患者,心理干预能减轻抑郁情绪,进一步改善心功能。【Objective】To explore the impact of psychological intervention on depression in patients with chronic congestive heart failure（CHF） associated with depression and heart function.【Methods】Chronic congestive heart failure with depression were randomLy divided into psychological intervention group（45 cases） and control group（45 cases）.The control group was given conventional cardiovascular medications,the intervention group received a comprehensive psychological intervention on the basis of conventional cardiovascular medications,in severe cases of depression taking the amount of antidepressant drugs.All patients were followed up for 3 months.【Resluts】（1）Compared between two groups 3 months after treatment,depression of the treatment group than the control group significantly reduced（P0.01）;（2）The NYHA functional grade significantly improved（P 0.05）,LVEF significantly increased in treatment group（P 0.05）.【Conclusion】With depression in patients with chronic congestive heart failure（CHF）,psychological intervention can reduce depression and further improve heart function.

关 键 词：充血性心力衰竭 心理干预 抑郁 

分 类 号：R541.6[医药卫生—心血管疾病]