阵发性房颤射频消融术后应用利伐沙班片联合心理干预的效果分析

Effect of Rivastaban tablet combined with psychological intervention on radiofrequency ablation of paroxysmal atrial fibrillation

目的探讨阵发性房颤射频消融术后应用利伐沙班片联合心理干预的效果。方法按照随机数字表法将温州医科大学附属第一医院收治的86例患者行阵发性房颤射频消融术的患者分为对照组与观察组,各43例;对照组采用伐沙班片治疗,并给予常规护理;观察组于对照组治疗基础上实施心理干预。评价2组患者干预前、后焦虑、抑郁症状,采用SF-36生活质量量表评价2组患者干预后生活质量。随访6～12个月,统计2组复发情况。结果观察组干预后焦虑、抑郁评分明显低于对照组,2组患者干预后焦虑、抑郁评分明显低于治疗前（P〈0.05）。观察组干预后身体机能、躯体角色、社会功能、躯体疼痛、角色情绪、活力、心理健康及总体健康评分明显高于对照组（P〈0.05）。观察组术后复发率4.65%（2/43）,明显低于对照组18.60%（8/43）,差异具有统计学意义（χ^2=4.07,P=0.04）。结论阵发性房颤射频消融术后采用利伐沙班片联合心理干预可有助于改善患者心理状态,降低其术后复发,提高其生活质量。

Objective To investigate the effect of Rivastaban tablet combined with psychological intervention after radiofrequency ablation of paroxysmal atrial fibrillation.Methods According to the random number table method,86 patients of paroxysmal atrial fibrillation ablation were divided into the control group and the observation group.The control group was treated with Rivastaban table and routine nursing.The observation group was given psychological intervention on the basis treatment of the control group.The quality of life of two groups was evaluated by SF-36 quality of life scale,anxiety and depression symptoms of two groups were evaluated before and after the intervention.Recurrence of two groups were observed by followed-up of 6 to 12 months.Results The anxiety and depression scores of the observation group were significantly lower than those of the control group.The anxiety and depression scores of the two groups were significantly lower than those before treatment（P〈0.05）.The body function,physical character,social function,body pain,body emotion,vitality,mental health and overall health score of the observation group were significantly higher than those of the control group（P〈0.05）.The recurrence rate was 4.65%（2/43） in the observation group,which was significantly lower than（18.60%,8/43） in the control group（χ2=4.07,P=0.04）.Conclusion Radiotherapy with radiofrequency ablation of paroxysmal atrial fibrillation combined with Rivastaban tablet plus psychological intervention could help improve the mental state of patients,reduce their recurrence and improve their quality of life.