【摘要】 目的研究"双心"干预在青年冠心病患者经皮介入治疗术(PCI)后的应用效果。方法选取2017年3月至2018年3月在安徽省阜阳市人民医院心血管内科住院90例行PCI术的青年(年龄≤45岁)冠心病患者为研究对象,随机分为观察组(n=45)和对照组(n=45)。对照组给予常规药物治疗,观察组在常规药物治疗基础上给予"双心"干预治疗。观察两组患者治疗前和治疗后4周广泛性焦虑量表(GAD-7)、患者健康问卷抑郁症状群量表(PHQ-9)评分及PCI术后6个月内不良临床事件包括心绞痛、心肌梗死、室性早搏、室速/室颤的发生情况。结果治疗后两组患者的GAD-7及PHQ-9评分均较治疗前下降,观察组较对照组评分更低,差异均有统计学意义(P<0.05)。与对照组相比,观察组治疗后6个月内不良临床事件(包括心绞痛、心肌梗死、室性早搏、室速/室颤)的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 "双心"干预可明显改善PCI术后青年冠心病患者的心理障碍,并降低术后不良临床事件的发生率。更多还原

【Abstract】 Objective To study the application effect of psycho-cardiologic intervention in young patients with coronary artery disease(CHD) after percutaneous coronary intervention(PCI). Methods The young patients(n=90, age≤45) undergone PCI were chosen from Department of Cardiovascular Medicine in People’s Hospital of Fuyang City from Mar. 2017 to Mar. 2018, and then divided randomly into observation group and control group(each n=45). The control group was treated with routine drugs and observation group was additionally given psycho-cardiologic intervention. The scores of Generalized Anxiety Disorder Scale(GAD-7) and Patient Health Questionnaire Depression Scale(PHQ-9), and incidence of clinical adverse events after PCI for 6 months, including angina pectoris, myocardial infarction, ventricular premature beat(VPB) and ventricular tachycardia/ventricular fibrillation, were observed in 2 groups before and 4 weeks after treatment. Results After treatment, the scores of GAD-7 and PHQ-9 all decreased in 2 groups, and the scores were lower in observation group than those in control group(P<0.05). The incidence of clinical adverse events(angina pectoris, myocardial infarction, VPB and ventricular tachycardia/ventricular fibrillation) was lower in observation group than those in control group(P<0.05) within 6 months after treatment. Conclusion Psychocardiologic intervention can significantly relieve the psychological disorder and reduce the incidence of postoperative clinical adverse events in young patients with CHD after PCI.更多还原