负性情绪干预对冠心病心绞痛疗效及冠脉事 件发生率的影响.pdfVIP

中国行为医学科学 1999 年第 8 卷第 3 期 1·87 · 负性情绪干预对冠心病 心绞痛疗效及冠脉事件发生率的影响 张作记　王长谦　崔立谦　孙树印 　　【摘要】　 目的　观察负性情绪干预对冠心病心绞痛治疗效果的作用及干预治疗 3 月内急性冠脉事件发生率的影响。方 法　根据性别、年龄、病情相匹配的原则, 将心绞痛患者分别入选药物组、干预组各 45 例。药物组给予常规药物治疗, 干预组在 药物治疗的基础上, 应用负性情绪干预治疗。评价治疗 2 周时的临床疗效、心电图疗效及干预治疗 3 月内的急性冠脉事件发生 率。结果　治疗 2 周后, 干预组临床显效率、心电图显效率均显著高于药物组。3 个月内急性冠脉事件发生率, 干预组低于药物 组, 有显著差异。结论　负性情绪干预对冠心病心绞痛的治疗和急性冠脉事件的预防有重要作用。 【关键词】　心绞痛　负性情绪　干预　冠脉事件 Effects of correcting negative m oods on the treatm en t eff icacy of ang ina pector is and m orbid ity of acute coronary even ts in patien ts with coronary heart d isease Z hang Z uoj i , W ang Chang qian, Cu i L iqian. R esearch of f ice of B ehav ioral M ed icine , J ining M ed ical Colleg e 272013 【 】 Abstract Objectives To observe the effects of co rrecting negative moods on the treatm ent efficacy of angina pecto ris and 3 . , mo rbidity of acute co ronary events during month fo llow up period M ethods A cco rding to the p rincip le of m atched sex age and state of an illness, 90 patients w ith unstable angina pecto ris w ere divided into drug group and intervening group. Patients . , in drug group w ere treated w ith conventional drugs In addition to conventional drugs patients’ negative moods w ere rectified in intervening group. Curative effects in term s of Symp tom s and E lectrocardiogram w ere evaluated tw o w eek s later and 3 . mo rbidity of acute co ronary events w ere calculated month later Results Incidence of very efficient in term s of Symp tom s and E lectrocardiog