室性心律失常患者心理卫生状况配对研究

A Control Study on the Mental Health in the Ventricular Arrhythmia Patients

目的研究室性心律失常患者的心理卫生状况。方法采用ＳＣＬ－９０对５０例功能性室性心律失常患者（病例组）和配对的５０例健康正常人（对照组）进行调查。结果病例组ＳＣＬ－９０各因子均值高于对照组（Ｐ＜０．００１），其中躯体化，强迫、焦虑、抑郁，敌对症状群表现突出，女性患者恐怖症状评分高于男性患者（Ｐ＜０．０５）。提示病人患室性心律失常后有普遍的心理障碍，女性尤甚。结论在室性心律失常的治疗措施中，除了抗心律失常药物治疗外，心理咨询和心理治疗不容忽视。

Objective To study the mental healthy status of the ventricular arrhythmia patients. Methods 50 functional ventricular arrhythmia patients and 59 matched healthy subjects(as a control group) were evaluated using SCL-90.Results each factor score of SCL-90 in the patient group was significantly higher than in the control group(P<0 001); especially for somatization, depression, anxiety, hositility, obsessive compulsive factor.The women patients were found to be higher scores on phobic factor than the men. lt was suggested that the patients had pervasive psycological disorder after suffeing from ventricular arrhythmias and the women patients were prominent. Conclusion psychotherapy and psychological counselling are important in antiarrhythmic therapy.