冠心病心功能不全患者的心理综合康复医疗观察  

An observation on the effect of psychology-behavior comprehensive rehab treatment in coronary artery disease patients with heart dysfunction during six years

作　　者：张文风 张培信 

机构地区：[1]山东省青岛疗养院,山东青岛市266071

出　　处：《心血管康复医学杂志》2003年第3期198-200,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨心理行为综合康复医疗在冠心病心功能不全病人治疗中的作用及价值。方法:对观察组32例伴Ⅲ级以上(NYHA标准)心功能不全的冠心病患者,在常规药物治疗的同时,增加心理行为综合康复医疗;对照组30例仅给予常规药物治疗,历经6年,比较两组的生存率及心功能改善情况。结果:观察组6年生存率达87.5％,病人的症状及心功能改善率为46.88％;而对照组这两项数据分别为46.67％和10％,两组间存在显著性差异(P<0.001)。结论:心理行为综合康复医疗能显著提高冠心病心功能不全病人的6年生存率,心功能改善的有效率。Objective: To investigate the effect of psychology-behavior comprehensive rehab treatment in coronary artery disease (CHD) patients with heart dysfunction. Methods: The experiment group which consists of 32 patients with heart dysfunction of class Ⅱ(NYHA Standard) was treated with psychology-behavior comprehensive rehab treatment in addition to routine medical treatment; the control group was treated with routine medical. Comparison was made on the curative effect and survival rate between two groups after six years of continuons treatment. Results: The survival rat in the experimental group was 87. 5% , while the ratio of the patients who had improvement on the heart function was 46. 88%. The correspond indexes in control group were 46- 67% and 10% respectively. There was significant difference in above stated indexes between two groups (P<0. 001). Conclusion: The psychology-behavior comprehensive rehab treatment can greatly increase the survival rate and efficiency of heart function improvement in CHD patients with heart dysfunction.

关 键 词：冠心病 心功能不全 临床观察 生存率 心功能改善 心理行为综合康复医疗 

分 类 号：R541.4[医药卫生—心血管疾病]