药物治疗加心理疏导对冠心病介入术后患者预后的影响  

Effect of psycho - cardiology treatment on the prognosis of patients with coronary heart disease after percutaneous coronary intervention

作　　者：刘军[1] 刘志刚[1] 高玉红[1] 赵丕田[1] 

机构地区：[1]潍坊市益都中心医院心内科,山东省潍坊262500

出　　处：《中国基层医药》2017年第19期2968-2971,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研究冠心病介入术后患者给予药物治疗加心理疏导（双心治疗）对主要心脏事件（MACE）发生率的影响。方法将2014年11月至2015年11月行冠状动脉介入治疗的患者200例随机分为单心治疗组（单纯药物，100例）和双心（药物加心理）治疗组（100例）进行单心研究，对双心治疗组进行强化性心理疏导及冠心病及介入常识教育及日常合理生活方式教育3个月，比较两组3个月后心理评估分数的变化。并对两组患者同时随访1年，观察两组患者MACE事件发生率的差异性。结果PCI术后3个月双心治疗组患者通过心理疏导及冠心病教育后，3个月时对照组和双心组HAMD评分分别为：（23．31±5．91）分、（12．40±3．95）分，两组差异有统计学意义（t=6．235，P〈0．05）；3个月后单心组HAMA评分平均（22．29±3．93）分，双心组平均（12．44±4．13）分，比较入院时下降明显（χ2=1．863，P〈0．05），两组差异有统计学意义（t=7．478，P〈0．05）。术后随访1年，双心治疗组MACE发生率明显低于单心治疗组。结论心理疏导冠心病及介入知识教育能有效地减少冠心病介入术后患者的不良情绪。PCI术后患者心理评估分数和MACE发生率明显降低。Objective To explore the effect of psycho - cardiology treatment on major cardiac events （MACE）,incidence in patients after percutaneous coronary intervention （PCI）. Methods From November 2014 to November 2015,200 patients with coronary artery intervention were randomly divided into cardiology treatment group （ 100 cases） and psycho - cardiology group （ 100 cases）. The psycho - cardiology treatment group was conducted to strengthen the psychological counseling and coronary heart disease and the intervention of common sense education and daily reasonable way of life education for 3 months. The scores of psychological assessment were compared between the two groups after 1 year. The patients of the two groups were followed up for 1 year at the same time. The clinical treatment of hypochondriasis rate and MACE incidence rate were observed in the two groups. Results 3 months after PCI,psycho - cardiology treatment group was treated with psychological counseling and coronary heart disease. The psychological assessment score was significantly lower than that in the control group. At 3 months, the HAMD scores of the control group and the psycho - cardiology group were （ 23.31 ± 5.91 ） points, （ 12.40±3.95 ） points, there was significant difference between the two groups （ t = 6. 235, P 〈 0.05 ）. At 3 months, the HAMA scores of the control group and the psycho - cardiology group were （22.29 ±3.93 ） points, （ 12.44± 4.13 ） points, there was significant difference between the two groups （ t = 7. 478, P 〈 0.05 ） , which were significantly decreased compared to admission. Postoperative follow up of 1 year,the clinical medical hypochondriasis rate of psycho -cardiology treatment group was significantly lower than that of cardiology treatment group. The incidence rate of MACE was significantly lower than that of the control group. Conclusion Mental intervention, coronary heart disease and PCI knowledge education can effectively reduce the negative emotion of patients with coronar

关 键 词：冠心病 心理 经皮冠状动脉介入 双心治疗 

分 类 号：R541.4[医药卫生—心血管疾病]