综合性心理治疗冠心病的临床研究

Clinical Study of the Comprehensive Psychotherapy of CHD.

目的 观察综合性心理治疗冠心病的疗效。方法 将 1 0 0例冠心病患者按心理检查时单双序号分为研究组和对照组。研究组在常规药物治疗的基础上 ,采用行为干预治疗、生物反馈、放松训练、音乐疗法、支持性心理治疗等综合疗法。对照组仅常规药物治疗。每位患者均于治疗前、治疗后 3个月和 6个月检测临床指标 :血压 ( SBP、DBP)、血脂 ( TC、TG、HDL-C)进行治疗前及同期组间比较 ;治疗后 6个月观察心电图 ST-T和临床疗效 ;并行治疗前和治疗后 6个月给两组患者测查生活质量评定问卷 ( GQOL-74 ) ,进行治疗前后及同期组间比较。结果 研究组治疗后 3个月和 6个月临床指标改善明显优于对照组 ( P<0 .0 5 ) ,治疗 6个月后研究组的心电图 ST-T改善和临床疗效及生活质量得分明显高于对照组。结论 综合性心理疗法能有效提高冠心病患者的临床治疗效果和生活质量。

Objective Observe the therapeutic effect of the comprehensive psychotherapy of CHD.Method Divide 100 CHD patients into the studied group and the compared group according to the odd or even sequence during the psychological examination.The studied group were given not only conventional medical treatment but also the comprehensive therapy such as behavior interference treatment,biochemical feedback,relaxation training and supporting psychotherapy.The following clinical indexes were examined and between the two concurrent group before treatment,three and six months after treatment;blood pressure(SBP,DBP),TC,TG and HDL-C.We observed the changes of ST-T and clinical effects after six-months treatment.The grading questionnaires of life quality(GQOL-74)were tested and compared between the two concurrent groups before treatment and after six-month treatment.Result The clinical indexes of the studied group treatedd after three and six months were improved more apparently than those of the compared group(P<0.05)and the scores of life quality are also distinctly higher.Conclusion The comprehensive psychotherapy can effectively improve the clinical controlling effects and life quality of CHD patient.