“双心医学”模式在慢性心衰伴抑郁障碍患者中的应用  

Application of Psycho-Cardiology in Patients with Heart Failure Complicated with Depressive Disorder

作　　者：刘园园[1] 卢文秋[1] 

机构地区：[1]天津市胸科医院心内科,300222

出　　处：《天津医药》2014年第6期575-577,共3页Tianjin Medical Journal

摘　　要：目的探讨"双心医学"模式在慢性心力衰竭(心衰)伴抑郁障碍患者中的应用。方法采用PHQ-2和PHQ-9患者健康问卷对住院的慢性心衰患者进行问卷调查,选出符合条件的80例患者,随机分为常规组(40例)和干预组(40例)。常规组给予常规药物治疗,干预组在常规药物治疗基础上给予"双心医学"模式干预,3个月后再次测评,将干预组患者干预前后积分进行统计学分析。结果与常规组比较,干预组PHQ-9评分显著降低(P<0.01),2组治疗后较治疗前左室射血分数(LVEF)、B型钠尿肽(BNP)、C反应蛋白(CRP)均明显改善(P<0.05)。干预组治疗3个月后LVEF、BNP、CRP改善情况明显优于常规组。结论 "双心医学"模式可在治疗慢性心衰的同时化解患者的心理问题,缓解抑郁情绪,达到心血管和心理双重治疗,改善患者预后,促进康复。Obiective To explore the application of psycho-cardiology in patients with chronic heart failture compli-cated with depressive disorder. Methods Hospitalized patients with chronic heart failture were assessed with PHQ-9 and PHQ-2 health questionnaire. A total of 80 patients with depressive disorder were selected and randomly divided into routine treatment group （n=40, received routine medication） and intervention group （n=40, application of psycho-cardiology based on routine medication）. After three months, changes of scores before and after therapy were statistically analyzed in these two groups. Results Compared with routine treatment group, total scores of PHQ-9 significantly decreased in intervention group （P〈0.01）. LVEF, BNP and CRP improved in both groups after intervention （P〈0.05）, which were more prominent in intervention group compared with routine treatment group （P 〈 0.05）. Conclusion Psycho-cardiology can treat chronic heart faiture and solve psychological problems of patients and provide comprehensive rehabilitation to patients.

关 键 词：心血管疾病 抑郁 心力衰竭 双心医学 

分 类 号：R541[医药卫生—心血管疾病] R749[医药卫生—内科学]