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双心诊疗模式对急性心肌梗死患者预后的影响
引用本文:张润峰,胡大一,高文根,邢燕,魏毅东.双心诊疗模式对急性心肌梗死患者预后的影响[J].中国当代医药,2011,18(25):15-17.
作者姓名:张润峰  胡大一  高文根  邢燕  魏毅东
作者单位:1. 四川省绵阳市第三人民医院心血管内科,四川,绵阳,621000
2. 北京大学人民医院心脏中心,北京,100016
3. 同济大学心肺血管中心,上海,200092
基金项目:四川省绵阳市卫生局科研课题
摘    要:目的:探讨双心诊疗模式对急性心肌梗死(AMI)患者临床预后的影响。方法:对60例AMI患者,随机分为双心诊疗组和对照组,各30例。两组患者均接受常规治疗,双心诊疗组在此基础上,由心理医生给予患者心理疏导与心理治疗。在12个月的随访期间,记录两组患者左室射血分数(LVEF),以及12个月内累积心血管事件。结果:双心诊疗组LVEF以及再发心肌梗死、因心力衰竭再入院、心绞痛再次发作、恶性心律失常等心血管事件均低于对照组。结论:双心诊疗模式的应用可以改善AMI患者预后。

关 键 词:急性心肌梗死  双心诊疗模式  预后  影响

Effects of psycho -cardiology treatment model on prognosis in patients with acute myocardial infarction
Authors:ZHANG Run feng  HU Dayi  GAO Wengen  XING Yan  WEI Yidong
Institution:1.Department of Cardiology,Third People’s Hospital of Mianyang,Sichuan Province,Mianyang 621000,China;2.Heart Center,People’s Hospital of Beijing University,Beijing 100016,China;3.Heart,Lung and Blood Vessel Center,Tongji University,Shanghai 200092,China
Abstract:Objective:To observe the effects of psycho-cardiology treatment model on clinical prognosis in patients with acute myocardial infarction(AMI).Methods:Sixty AMI patients were selected,and were randomized in a 1:1 ratio to psycho-cardiology treatment group(n=30) and control group(n=30).Both groups were given routine therapy.Psycho-cardiology treatment group was given specific psychological guaidance and treatment in addition to the basic treatment.Left-ventricular ejection fraction(LVEF),cardiovascular events were recorded at 12 months' follow-up.Results:There were significant difference comparing LVEF and cardiovascular events between psycho-cardiology treatment group and control group.Conclusion:Psycho-cardiology treatment model should be used in AMI patients,and can effectively improve clinical prognosis.
Keywords:Acute myocardial infarction  Psycho-cardiology treatment model  Prognosis  Effect
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