植入心脏永久起搏器对缓慢性心律失常并发焦虑或抑郁的影响  

Effect of Permanent Pacemaker Implantation on Anxiety or Depression in Patients with Bradyarrhythmia

作　　者：赵娜 ZHAO Na(PKU Care CNOOC Hospital,Tianjin,Tianjin 300450)

机构地区：[1]天津北大医疗海洋石油医院,天津300450

出　　处：《中国医疗器械信息》2022年第9期146-148,共3页China Medical Device Information

摘　　要：目的:分析植入心脏永久起搏器对缓慢性心律失常并发焦虑或抑郁的影响。方法:选取2019年3月~2020年12月本院收治的86例缓慢性心律失常患者为研究对象,按照治疗方式的不同将其分为两组。对照组患者采用心宝丸口服治疗,观察组患者在心宝丸口服治疗的基础上植入双腔心脏永久起搏器,观察两组患者治疗前后的HAMA评分、HAMD评分和生活质量评分,同时观察两组患者的安全性。结果:治疗前两组中的HAMA评分和HAMD评分差异不显著(P>0.05),治疗后观察组患者的HAMA评分和HAMD评分分别为(9.63±1.94)和(12.37±2.18)分,均显著优于对照组的(13.85±2.74)和(16.09±2.66)分(P<0.05)。治疗前两组患者生活质量各维度评分均无显著差异(P>0.05),治疗后观察组患者生活质量各维度评分均显著优于对照组(P<0.05)。观察组不良事件发生率低于对照组,但是组间无显著差异(P>0.05)。结论:对缓慢性心律失常患者植入心脏永久起搏器进行治疗,可以显著改善患者的不良情绪和生活质量。Objective:To analyze the effect of permanent pacemaker implantation on anxiety or depression in patients with bradyarrhythmia.Methods:86 patients with bradyarrhythmia in our hospital from March 2019 to December 2020 were selected as the research objects and divided into two groups according to different treatment methods.Patients in the control group were treated with Xinbao pill,while patients in the study group were implanted with dual chamber permanent pacemaker on the basis of Xinbao pill.The HAMA score,HAMD score and quality of life score of the two groups were observed before and after treatment,and the safety of the two groups was observed at the same time.Results:Before treatment,there was no significant difference in HAMA score and HAMD score between the two groups(P>0.05),but after treatment,the HAMA score and HAMD score of the study group were(9.63±1.94)and(12.37±2.18),which were significantly better than those of the control group(13.85±2.74)and(16.09±2.66)(P<0.05).Before treatment,there was no significant difference in the scores of each dimension of quality of life between the two groups(P>0.05).After treatment,the scores of each dimension of quality of life in the study group were significantly better than those in the control group(P<0.05).The incidence of adverse events in the study group was lower than that in the control group,but there was no significant difference between the groups(P>0.05).Conclusion:Implantation of permanent cardiac pacemaker in patients with bradycardia and chronic arrhythmia can significantly improve patients’bad mood and quality of life.

关 键 词：心脏永久起搏器 缓慢性心律失常 焦虑 抑郁 不良事件 

分 类 号：TH778[机械工程—仪器科学与技术]