社会心理干预对冠心病患者的防治作用

Prevention effect of psychosocial factor on coronary heart disease

目的:研究社会心理干预对冠心病患者的防治作用,以指导临床治疗。方法:临床入选212例冠心病患者,按照随机数字方法分为两组,其中对照组(106例)予以常规药物治疗,研究组在药物治疗的基础上严格执行社会心理方式干预,治疗后,分析比较两组患者的相关临床资料。结果:两组患者在治疗前的心绞痛发作及心律失常发生情况比较,差异均无统计学意义(P>0.05);治疗后,研究组的心绞痛发作及心律失常发生率与对照组比较均有明显下降(P<0.05),并且心电图T波或ST-T波改善也较对照组明显(P<0.05)。治疗随访1年后,对照组有5例在院外猝死,治疗总有效率为71.70%,研究组2例在院外猝死,治疗总有效率为90.57%,研究组的总有效率明显高于对照组(P<0.05)。结论:通过社会心理的综合干预措施可以将危险因素降到最低,对冠心病具有重要的防治作用。

Objective To investigate the prevention effect of psychosocial factor on coronary heart disease.Method Two hundred and twelve patients with coronary heart disease were retrospectively reviewed and randomly divided into conventional drug therapy group and conventional drug combining with psychosocial intervention treatment group.After period of treatment finished,we compared the clinical data of the two groups.Results After one year,the patients of combination therapy group with the outbreak of angina,the cardiac arrhythmia and the improvement of electrocardiogram had significantly improved（P0.05）.There was a significant difference between the two groups in the total effective rate,78.53% and 94.12%,respectively（P0.05）.Conclusion The effect of psychosocial factor plays an important role in the prevention of coronary heart disease.It can minimize the risk factors of CHD.