【摘要】 目的了解不明原因频发室性早搏患者心理障碍情况，并探讨心理治疗的临床价值。方法在常规药物治疗的同时，将50例不明原因频发室性早搏患者（患者组）分为心理治疗组和非心理治疗组，各25例。于治疗前、治疗2个月后进行24小时动态心电图检查，测量症状自评量表（SCL-90），并与30名对照者比较。结果治疗前患者组SCL-90各因子分高于对照组，治疗后心理治疗组SCL-90总分为64．12±19．16，低于治疗前（78．14±21.68；P＜0．05），室性早搏数亦随之减少（P＜0．01）。非心理治疗组治疗前后SCL-90评分差异尤显著性。结论对有心理障碍的不明原因频发室性早搏患者进行心理治疗，有利于减少室性早搏。更多还原

【Abstract】 Objective To investigate the relation between the psychological disorder and the ventricularpremautre beat (VPB) and to explore the effect of psychotherapy on VPB. Methods 50 patients with VPBreceiving the routine medication treatment were divided into psychotherapy group and non-psychotherapy group. 25cases in each group. They were rated by SCL-90 questionnaire and were measured by Holter-ECG before and after2-month treatment, as compared with 30 normal controls. Results The all subscores of SCL-90 were significantlyhigher in patient group than in normal control group before treatment. The total score of SCL-90 was 64. 12±19. 16 in psychotherapy group after treatmnt, which was significantly lower than that of before treatment (78. 14±21 .68; P＜0.05), and the freopencies of VPB was also reduced, but no significant difference in SCL-90 totalscore was noted in non-psychotherapy group. Conclusions The psychotherapy for patients with intractable VPBmay be helpful in reducing VPB.更多还原