信息化认知矫正治疗对老年冠心病伴发抑郁症患者心理及自主神经功能影响  

Effects of information cognitive correction on psychological and autonomic nervous function in elderly patients with coronary heart disease and depression

作　　者：沈佳佳 金燕萍[1] 何英姿[1] Shen Jiajia;Jin Yanping;He Yingzi(Department of Geriatrics,The Sixth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院老年病科,上海200233

出　　处：《中国医学前沿杂志（电子版）》2022年第2期6-10,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：上海交通大学附属第六人民医院院内课题(院-2226)。

摘　　要：目的探讨信息化认知矫正治疗对老年冠心病伴发抑郁症患者心理及自主神经功能影响。方法对上海交通大学附属第六人民医院2018年6月至2020年7月就诊的98例老年冠心病伴发抑郁患者,采用红蓝球法,将选定红球49例患者作为干预组,选定蓝球49例患者作为观察组,干预组应用常规认知功能干预,观察组采用信息化认知矫正治疗,比较两组患者心理及自主神经功能变化。结果两组患者干预前老年抑郁量表(Geriatric Depression Scale,GDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、低频带(low-frequency,LF)、高频带(high-frequency,HF)波幅及LF/HF比较无统计学差异,但干预后观察组患者的GDS、SAS评分较干预组显著下降(P<0.05);干预后观察组患者的LF波幅与LF/HF比值均较干预组有所升高(P<0.05)。结论信息化认知矫正治疗用于老年冠心病伴发抑郁症患者,可有效减轻抑郁及焦虑情绪,且对患者心脏自主神经调节功能具有积极改善作用。Objective To explore the effect of information cognitive correction on psychological and autonomic nervous function of elderly patients with coronary heart disease(CHD)with depression.Method A total of 98 elderly patients with CHD with depression in the Sixth Peoples Hospital Affiliated to Shanghai Jiaotong University from June 2018 to July 2020.Randomization was made by red and blue ball.49 patients with red ball were selected as the routine group and 49 patients with blue ball as the observation group.Routine cognitive function intervention was used in the routine group,and information cognitive correction was used in the observation group.The difference of psychological and autonomic nerve function were compared between the two groups.Result There was no significant difference in Geriatric Depression Scale(GDS),Self-rating Anxiety Scale(SAS)score,low frequency band,high frequency band amplitude and LF/HF ratio between the two groups before intervention,but GDS,SAS score in the observation group was significant lower than that of the conventional group(P<0.05).Low frequency band and LF/HF ratio in observation group was significant higher than that in observation group(P<0.05).Conclusion Information cognitive correction therapy for elderly CHD patients with depression can effectively alleviate the degree of depression and anxiety,and has a positive effect on the regulation of cardiac autonomic nerve.

关 键 词：认知矫正治疗 冠心病 抑郁症 自主神经功能 

分 类 号：R541.4[医药卫生—心血管疾病] R749.4[医药卫生—内科学]