| 阵发性房颤心律转复与单纯控制心室率对患者焦虑的影响 |
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| 引用本文： | 毛莉,张安.阵发性房颤心律转复与单纯控制心室率对患者焦虑的影响[J].心血管康复医学杂志,2007,16(6):570-572. |
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| 作者姓名： | 毛莉 张安 |
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| 作者单位： | 上海市第一人民医院分院心内科,上海市,200081 |
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| 摘 要： | 目的:比较阵发性心房颤动(PAF)患者转律并维持窦律和控制心室率治疗对患者焦虑状态的影响。方法:50例PAF患者中22例经电击/可达龙/莫雷西嗪/心律平转律治疗后恢复并维持窦性心律为心律转复组,其余28例给予β受体拮抗剂和/或钙离子通道拮抗剂和/或洋地黄类药物控制心室率为控制心率组。用Hamilton焦虑量表(HAMA)对两组患者入院时及随访6月后进行评分。结果:两组阵发性房颤患者入院时均有明显的焦虑,6月后心律转复组与控制心率组比较,焦虑明显改善(P<0.01)。结论:对阵发性心房颤动患者积极转律并维持窦律能显著改善患者焦虑状态。
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| 关 键 词： | 心房颤动 焦虑 治疗结果 |
| 文章编号： | 1008-0074(2007)06-0570-03 |
| 修稿时间： | 2006年11月24 |
Influence of cardiaversion and heart rate control on anxiety of patients with paroxysmal atrial fibrillation |
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| MAO Li,ZHANG An.Influence of cardiaversion and heart rate control on anxiety of patients with paroxysmal atrial fibrillation[J].Chinese Journal of Cardiovascular Rehabilitation Medicine,2007,16(6):570-572. |
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| Authors: | MAO Li ZHANG An |
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| Abstract: | Objective:To study the influence of cardioversion and heart rate control on anxiety in patients with paroxysmal atrial fibrillation(PAF).Methods:Fifty PAF patients were studied.Cardioversion patients(n = 22) received electro-cardioversion,or anti-arrhythmic drugs,and oral anticoagulation as needed.Heart rate control patients(n =28) were given negative chronotropic drugs.Anxiety was studied using the HAMA at baseline and six months later.Results:At baseline the patients in both groups had anxiety and there were no differences.Six months later,the scores of HAMA in cardioversion group were significantly lower than that in heart rate control group(P<0.01).Conclusion:Cardioversion therapy can improve the anxiety than that of heart rate control therapy in patients with paroxysmal atrial fibrillation. |
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| Keywords: | Paroxysmal atrial fibrillation Anxiety Therapeutic result |
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