急性一氧化碳中毒住院患者抑郁、焦虑情绪发生情况调查及渐进性肌肉放松训练的干预效果.docVIP

急性一氧化碳中毒住院患者抑郁、焦虑情绪发生情况调查及渐进性肌肉放松训练的干预效果 1 (:L?河北省唐山市开滦总医院急诊科，河北唐山063000； 2?河北省唐山市协和医院神经内科，河北 唐山063000) ［ ］冃的观察急性一氧化碳屮毒住院(ACMP)患者抑郁和焦虑情绪的发生率， 探讨渐进性肌肉放松训练对抑郁、焦虑的干预效果。方法选取ACMP患者263 例，诊断为抑郁、焦虑的患者68例。随机分为对照组(常规治疗)34例，治疗 组(渐进性肌肉放松训练)34例，观察两组患者经过治疗后的SAS以及SDS的 评分情况，观察两组患者对于治疗的满意度。结果观察组患者经过治疗后，SAS 以及SDS评分均降低，满意度高于对照组，差异具有统计学意义，PV0.05。结 论渐进性肌肉放松训练可以有效地缓解患者抑郁和焦虑的症状，改善心理状况, 增强患者对治疗的满意度，值得临床推广应用。 ［关键词］急性一氧化碳屮毒；抑郁；焦虑；渐进性肌肉放松训练 Investigation on the occurrenee of depression and anxiety of hospitalized patients with acute carb on mono xide pois oning and interve ntion effect of progressive muscle relaxation training ［Abstract］Objective To investigate the incidenee of depression and anxiety in hospitalized patie nts with acute carb on mono xide pois on ing, and to explore the effect of progressive muscle relaxation training on depression and anxiety. Methods 263 pateints with ACMP were selected to study, and 68 patients were diagnosed with depression or anxiety. 68 patients were randomly divided into the control group (conventional therapy) and treatment group (progressive muscle relaxation training) with 34 patients each group. The SAS score, SDS score and treatment satisfaction of two groups were observed. Results After progressive muscle relaxation training,the SAS and SDS score of treatment group were lower than those of control group(p 0.05), and the treatment satisfaction of treatment group was higher than that of control group(p0.05)o Conclusion The progressive muscle relaxation training can effectively alleviate the symptoms of depression and anxiety in patients with ACMR improve the psychological status, enhance patients1 satisfaction with treatment, which is worthy of clinical application. [Key Words]Acute Carb on Mono xide Pois oning; Depressi on; An xiety; Progressive Muscle Relaxation Training 急性一氧化碳中毒(ACMP)是日常生活和工业生产中常见的急性 中毒情况，占急性中毒原因的第一位[1]。CO进入人体后，与血红蛋白结合，会 导致机体出现低氧血症，人体组织缺氧的情况下，会岀现脑水肿，中毒性脑病[2] 等一系列的缺氧性损伤，后果严重。随着医疗水平的提高，以及高压氧等有效治 疗手段的应用,ACMP患者的临床治愈率也越来越高,减轻了患者身体上的痛