冠心病患者伴焦虑抑郁的临床研究及治疗现状.docVIP

PAGE 1 冠心病患者伴焦虑抑郁的临床研究及治疗现状 汤小漫，张晓刚* (重庆医科大学附属第一医院心内科，重庆 4000收稿日期：2012 收稿日期：2012-11-01；接受日期：2012-11- 基金项目：重庆市卫生局医学科学技术研究重点项目（2009-1-51） 作者简介：代艳梅（1986-），女，四川眉山人，医师，硕士研究生 TelE-mail: dymme2006@126.com *Corresponding authors, 秦俭, E-mail：hjqj2001@; 张晓刚，E-mail：zxg0233@ 摘要: 冠心病是目前公认的心身疾病, 心理社会因素与其发生、发展及预后关系密切,相当多的证据表明，焦虑与抑郁的发生在冠心病患者中十分常见，并且与冠心病的发病率与死亡率的增加有关 ADDIN NE.Ref.{12556DF1-FB8D-47AD-9E5F-CB9837C7FD0B}[1]。近年来综合心理干预已引起临床医生重视, 本文拟从焦虑、抑郁与冠心病的关系、对其预后的影响以及临床干预治疗现状和水平进行了综述。 关键词: 冠心病, 焦虑和抑郁, 心理干预 Current clinical research and treatment in patients with coronary heart disease accompanied with anxiety and depression TANG xiaoman，ZHANG xiaogang* Department of Cardiology，First Affiliated Hospital，Chongqing Medical University，Chongqing 400016，China [Abstract] Coronary atherosclerotic cardiopathy is currently accepted as psychosomatic disease, psychological and social factors are associated with its occurrence, development and prognosis.Considerable evidence suggests that anxiety and depression in patients with coronary artery disease are very common, and are related to the morbidity and mortality of coronary artery disease ADDIN NE.Ref.{12556DF1-FB8D-47AD-9E5F-CB9837C7FD0B}[1]. Comprehensive psychological intervention has attracted the attention of the clinician in recent years , the relationship of anxiety and depression with coronary artery disease,the influence of anxiety and depression on the prognosis of this disease and the status and level of clinical intervention therapy are reviewed in this paper. [Keywords] coronary heart disease ; anxiety and depression;psychological intervention 冠心病是一种慢性终身疾病,也是目前公认的心身疾病, 在其发生发展过程中, 病人极易产生焦虑、抑郁、紧张、恐惧、孤独等负性情绪, 而负性情绪对于冠心病的预后有着很大影响，是医患双方都十分关注的重要问题。在冠心病各类型中, 以心绞痛及心肌梗死伴发的精神心理反应最为严重, 多表现为焦虑与抑郁。冠心病的治疗方针除内科躯体治疗外, 还需要采用消除精神心理症状、维持疗效和稳定病情, 促进康复, 减少复发为目标的综合心理干预治疗。本文拟从焦虑与抑郁和冠心病的关系、对其预后的影响及对其临床干预治疗的现状做一综述。 作者简介：汤小漫（1988-），女，医师，硕士研究生 T