論著酸干预研究.docVIP

编号：1001159 拟用稿件 已缴版面费 酸枣仁汤对心脏介入患者心理应激的干预研究 赵立志 杨思进 白雪△ (泸州医学院附属中医院心脑内科，泸州 644100) 【摘 要】目的 探讨心脏介入患者的心理应激特点及酸枣仁汤对焦虑评分的干预效果。方法 对 126例有心脏介入指征的患者采用改进的焦虑量表(SAS)进行术前评分，随机分为三组，对照组，心理干预+酸枣仁汤组，心理干预+坦度螺酮组，对照组只给予心理干预。比较各组患者术后SAS评分情况。结果 有心脏介入适应症的患者均不同程度地存在焦虑、抑郁状况等状况，经干预后患者焦虑、抑郁状况明显改善，与对照组比较差异均有极显著性差异(P0．01)，酸枣仁汤组患者焦虑、抑郁状况明显改善与坦度螺酮组比较差异有统计学意义（P0.05）。结论 酸枣仁汤能明显缓解心脏介入治疗患者围手术期的焦虑 、抑郁情绪。 【关键词】心脏介入；焦虑 ；抑郁 ；酸枣仁汤；SAS评分 Study on Suanzaoren Decoction intervention on the patienes with cardiac intervention therapy with depression and anxiety ZHAO LI-ZHI，YANG SI-JIN ，BEI XUE （Hospital(T.C.M) Attached to Luzhou Medical College,luzhou,644100,China） [Abstract] Objective :To study the psychological characteristics of patienes with cardiac intervention therapy and intervention effects. Methods: The 126 cases of patients with indication for intervention therapy with depression and anxiety were evaluated were randomly divided into there groups ：the simple psychological intervention group （the control group） , psychological intervention with Suanzaoren Decoction treatment group and psychological intervention with Tandospirone treatment group．All groups were scored by SAS before treatment and one weeks ago． Results: here are 126 cases of the patienes with cardiac intervention therapy were anxiety and depression.There was significant difference of the treatment group and the control group (P 0.01). There was significant difference of the Suanzaoren Decoction treatment group and Tandospirone treatment group .Conclusion : Effective drug had good therapetic effect to the patienes with cardiac intervention therapy with depression and anxiety. [Key words]：cardiac intervention therapy；depression ; anxiety; Suanzaoren Decoction; SAS scores ]。心脏介入前后患者的焦虑、抑郁情况通过医护人员的心理疏导和安慰能有一定程度的缓解，但效果不尽如意。本研究通过对2007年6月至 2009年8月126例心脏介入患者的焦虑、抑郁情况进行SAS量表评分，并给予中药汤剂干预治疗，明显改善了心脏介入患者围手术期的焦虑 、抑郁情绪。现报道如下。 1 临床资料 1．1 一般资料 2007年6月至 2009年8月随机选择在泸州医学院附属中医院心内科住院，有起搏器植入适应证的患者 12