摘要
目的比较慢性心力衰竭(CHF)患者给予双心治疗和单心治疗的效果。方法将住院CHF患者200例随机分组为单心治疗组(100例)和双心(心脏加心理)治疗组(100例)进行对比研究,对双心治疗组进行强化性心理疏导及心力衰竭(HF)常识教育及日常合理生活方式教育3个月,比较两组3个月后心理评估分数的变化。并对两组患者同时随访1年,观察两组患者MACE事件发生率的差异性。结果 CHF患者通过心理疏导及HF教育后,3个月后单心组和双心组患者HAMD评分分别为:(23±6)、(12±4)分,两组评分之间存在明显差异性(P<0.05);3个月后单心组HAMA评分(23±4)分,双心组(12±4)分,与入院时比较前者上升后者显著下降(均P<0.05),两组组间比较差异有统计学意义(P<0.05)。随访1年,双心治疗组MACE发生率显著低于单心治疗组(P<0.05)。结论双心治疗CHF患者的疗效优于单心治疗。
AIM To compare the effects of psycho-cardiology treatment and single cardiology treatment in patients with chronic heart failure. METHODS 200 patients with chronic heart failure were randomly divided into single cardiology treatment groups （100 cases） and psycho-cardiology treatment groups （100 cases）. Psycho-cardiology treatment groups were conducted to strengthen the psychological counseling and coronary heart disease and the intervention of common sense education and daily reasonable way of life education for 3 months, The scores of psychological assessment were compared between the two groups after 1 year. Two groups of patients were followed up for 1 year at the similar interval, the difference between the two groups of patients in clinical treatment of hypochondriasis rate and MACE incidence rate were observed. RESULTS Psycho-cardiology treatment groups of patients were treated with psychological counseling and chronic heart failure, at 3 months, the HAMD scores of the treatment group and the psychocardiology treatment group were （23 ±6）, （12±4） score. There was a significant difference between the two groups （P 〈 0. 05）. At 3 months, the HAMA scores of the single cardiology treatment group and the psycho-cardiology therapy were （12 ± 4）, （23 ± 4） score, decreasing significantly compared to admission. There was a significant difference between the two groups （P 〈 0. 05 ）. Postoperative follow up of 1 year, psycho-cardiology treatment groups of clinical medical hypochondriasis rate was significantly lower than that of the single cardiology treatment group （P 〈 0. 05）. CONCLUSION The efficacy of psycho-cardiology treatment in patients with CHF is better than that of single cardiology treatment.
作者
刘军
LIU Jun(Department of Cardiology, Yidu Central Hospital, Weifang 262500, Shandong, Chin)
出处
《心脏杂志》
CAS
2018年第3期300-302,318,共4页
Chinese Heart Journal
关键词
心力衰竭
慢性
双心治疗
主要不良心脏事件
heart failure
chronic
psycho-cardiology treatment
major adverse cardiac events
