西酞普兰、运动疗法联合人际心理治疗对合并情绪障碍的心肌梗死患者的效果  

Effect of citalopram,exercise therapy and interpersonal psychotherapy on myocardial infarction patients with mood disorders

作　　者：秦英华 张南南 侯艳艳 QIN Yinghua;ZHANG Nannan;HOU Yanyan(Department of Cardiology,Hebi People'sHospital,Hebi 458030,China)

机构地区：[1]鹤壁市人民医院心血管内科,鹤壁458030

出　　处：《国际精神病学杂志》2023年第4期802-805,共4页Journal Of International Psychiatry

摘　　要：目的 探究西酞普兰、运动疗法联合人际心理治疗对合并情绪障碍的心肌梗死患者的效果.方法 选取于2021年2月~2022年6月收治入我院的108例心肌梗死合并情绪障碍患者,根据随机数字表法将其分为对照组和试验组,各54例.对照组接受常规护理+运动疗法+心理治疗,试验组在对照组的基础上增加西酞普兰治疗.对比组间患者负面情绪、心功能以及心率波动性(HRV).结果 治疗3个月、6个月后,试验组抑郁自评量表(SDS)与焦虑自评量表(SAS)评分显著低于对照组(P<0.05).治疗6个月后,试验组左心室射血分数(LVEF)水平显著高于对照组(P<0.05),试验组左心室舒张期末内径(LVEDD)与左心室收缩末期内径(LVESD)水平显著低于对照组(P<0.05).治疗6个月后,试验组24h相邻R-R间期之差的均方根值(rMSSD)、正常R-R间期标准差(SDNN)、24h每5分钟窦性R-R间期均值标准差平均值(SDNNi)以及5分钟窦性R-R间期均值标准差(SDANN)水平均明显高于对照组(P<0.05).结论 西酞普兰、运动疗法联合人际心理应用于合并情绪障碍的心肌梗死患者,有助于降低其抑郁、焦虑等负性情绪,改善其HRV与心功能水平.Objective To explore the effect of citalopram,exercise therapy and interpersonal psychology on patients with myocardial infarction and psychological disorders.Methods 108 patients with myocardial infarction and psychological disorders admited to our hospital from February 2021 to June 2022 were divided into control group and test group according to the method of random number table,with 54 patients in each group.The control group received routine nursing+exercise therapy+psychotherapy,and the test group received citalopram treatment on the basis of the control group.Negative emotions,cardiac function and heart rate variability(HRV)of patients in the control group were compared.Results After 3 and 6 months of treatment,the scores of SDS and SAS in the test group were signifi-cantly lower than those in the control group(P<0.05).After 6 months of treatment,the level of left ventricular ejection fraction(LVEF)in the test group was significantly higher than that in the control group(P<0.05),and the level of left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)in the test group was significantly lower than that in the control group(P<0.05).After 6 months of treatment,the root mean square value(rMSSD)of the difference between adjacent R-R intervals at 24 hours,the standard deviation of normal R-R interval(SDNN),the mean standard deviation of the mean value of sinus R-R interval every 5 minutes at 24 hours(SDNNi)and the mean standard deviation of 5-minute sinus R-R interval(SDANN)in the test group were significantly higher than those in the control group(P<0.05).Conclusion The application of citalopram,exercise therapy and interpersonal psychology in myocardial infarction patients with mood disorders can help reduce their negative emotions,and promote their improvement of HRV and cardiac function.

关 键 词：西酞普兰 心肌梗死 心理障碍 抑郁自评量表 

分 类 号：R542.2[医药卫生—心血管疾病] R749.2[医药卫生—内科学]