冠心病合并焦虑患者介入治疗后心理干预研究

目的探讨冠心病合并焦虑患者经皮冠状动脉介入治疗（percutaneouscoronaryintervention，PCI）后心理变化，及心理干预对伴有焦虑症状的冠心病患者的临床疗效。方法将入选的126例冠心病合并焦虑的患者随机分为A、B、C三组。A组为对照组（n=42），B组为抗焦虑药物组（n=42），C组为心理干预联合抗焦虑药物组（n=42），共治疗1月。比较三组患者在手术前、治疗1周、治疗1月后焦虑自评量表（self-ratinganxietyscale，SAS）的得分。结果A组治疗1周、治疗1月后SAS得分分别为（55，86±5．46）分、（53．93±6．03）分]与手术前SAS得分（57．14±5．63）]分比较差异无统计学意义（P〉0．05）。C组治疗1周、治疗1月后SAS得分分别为（42．79±5．82）分、（33．86±5．05）分]与B组SAS得分分别为（49．93±6．63）分、（40．93±6．46）分]均低于A组SAS得分分别为（55．86±5．46）分、（53．93±6．03）分]，三组之间比较差异有统计学意义（P〈0．05）。结论冠脉内血管再通没有明显改善患者的焦虑情绪。抗焦虑药物治疗与心理干预都可改善患者的焦虑情绪，对提高患者的临床疗效及冠心病的防治有一定指导价值。

The clinical emcacy of psychological intervention on coronary heart disease paltents with anxiety after per- cutaneous coronary intervention

Objective To study psychological change on anxiety patients with coronary heart disease （CHD） after percutaneous coronary intervention and to explore the effect of psychological intervention on anxiety patients with ChD. Methods The selected 126 anxiety patients with CHD were randomly divided into three groups A, B, C, and 42 cases in each group. Group A of was the control group, group B was the anti-anxiety drug group, group C was the psychological intervention combinded with anti-anxiety drug, and all patients were treated for one month. The self-rating anxiety scale （SAS） scores were recorded in three groups before surgery, after one week and one month treatment . Resluts There was no significant difference in SAS scores in group A before the operation and after 1 week,1 month treatment（respectively（57.14 ＋5.63）, （55.86 ：~5,46）, （53.93 ＋6.03）, P 〉 0.05）. After 1 week and 1 month treatment, the SAS score of group C （ respectively （42.79 ＋ 5.82） points, （33.86 ＋ 5.05 ） points） and the SAS score of group B （ respectively （49.93 ＋ 6.63 ） points, （40.93 ＋ 6.46 ） points） were lower than those of group A （ respectively （ 55.86 ＋ 5.46） points, （ 53.93 _＋ 6.03 ） points）, and there were significant differences among the three groups（P 〈 O. 05） . Conclusion There is no significantly improve- ment in patientg anxiety after coronary revascularization. Anti-anxiety drug and psychological intervention signifi- cantly improve the patientg negative emotions and reduce the incidence of angina.