中西医结合治疗心血管病伴发精神障碍临床分析  

Clinical Observation with Integrative Medicine in the Treatment of Cardiovascular Disease Comorbid Mental Disturbance

作　　者：姚晓东[1] 

机构地区：[1]山东中医药大学附属医院,济南250000

出　　处：《中西医结合心脑血管病杂志》2015年第13期1477-1479,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的探讨中西医结合治疗心血管病伴发精神障碍的临床效果。方法选取我院2012年12月—2014年12月122例心血管病伴发精神障碍患者,根据治疗方法不同将患者分为治疗组和对照组,各61例。对照组采用盐酸氟西汀胶囊和盐酸阿米替林片进行治疗,治疗组在对照组的基础上加入中医辨证方法治疗。治疗2个月后观察两组治疗效果。结果治疗组总有效率(98.4%)明显高于对照组(80.3%),差异有统计学意义(P<0.05);治疗组治疗后的心功能Ⅰ级和Ⅱ级恢复情况明显优于对照组,差异有统计学意义(P<0.05);治疗组治疗后的心功能Ⅲ级(0例)明显低于对照组(16例),差异有统计学意义(P<0.05)。结论对心血管病伴发精神障碍患者进行中西医结合治疗可以改善患者的症状,提高生活质量。Objective To observe the effect of integrative medicine in the treatment of cardiovascular disease comorbid mental disor-ders.Methods Selected from December 2012 to December 2014,122 patients with cardiovascular disease comorbid mental disorders were divided into two groups：The control group（n=61）treated with fluoxetine hydrochloride capsules and amitriptyline hydrochlo-ride,and the treatment group（n=61）treated with traditional Chinese medicine dialectical method in the basis of routine treatment for 2 months.The therapeutic effects were observed.Results The total clinical effective rate was 98.4% in treatment group,which was significantly higher than that in control group（80.3%,P〈0.05）.The cardiac function recovery of level I and Ⅱ in treatment group was obviously better than that in control group（P〈0.05）.The cardiac function level Ⅲ in treatment group（0 case）was significantly lower than that in control group（16 case,P〈0.05）.Conclusion Integrative medicine can improve the symptoms and quality of life in patients with cardiovascular disease comorbid mental disorders.

关 键 词：心血管病 精神障碍 中医辩证 心功能 

分 类 号：R54[医药卫生—心血管疾病]