振腹疗法对冠心病伴焦虑和/或抑郁患者精神状态改善作用研究

Clinical study on improving the mental state of patients with oronary heart disease and anxiety(or) depression with abdominal vibration therapy

目的观察振腹疗法治疗冠心病伴焦虑和/或抑郁这类双心疾病患者的临床疗效,探究振腹疗法对双心疾病患者焦虑、抑郁精神状态的改善作用。方法将110例冠心病伴焦虑和/或抑郁状态的双心病患者,随机分为对照组与治疗组,2组均给予常规西药治疗,治疗组加振腹疗法操作,每次30 min,1次/d,疗程为2周。并在2周、4周时观察2组患者GAD-7评分和PHQ-9评分的变化。结果与治疗前相比,2组GAD-7评分、PHQ-9评分均有改善,差异有统计学意义(P<0.05);与对照组相比,治疗组中GAD-7评分、PHQ-9评分改善效果更明显,差异有统计学意义(P<0.05)。结论振腹疗法具有调理气机、调和脏腑的作用,符合对冠心病伴焦虑和/或抑郁患者的发病机制,对患者焦虑、抑郁精神状态有改善作用。

Objective To observe the clinical effect of abdominal cavity therapy on patients with coronary heart disease with anxiety and/or depression and explore the effect of abdominal vibration therapy on anxiety and depression.Methods 110 cases of coronary heart disease with anxiety and depression（or） double heart disease were randomly divided into control group and treatment group,two groups were given conventional western medicine treatment,the treatment group plus abdominal vibration therapy,30 minutes each time,once a day,2 weeks of treatment.The changes of GAD-7 score and PHQ-9 score of the two groups were observed at the end of the 2 week and the 4 week.Results Compared with before treatment,the two groups GAD-7 score,PHQ-9 score were improved（P〈0.05）; compared with the control group,the treatment group GAD-7 score,PHQ-9 score improvement effect is more obvious（P〈0.05）.Conclusion Abdominal cavity therapy has the function of regulating qi and harmonizing the viscera,which is in accordance with the pathogenesis of coronary heart disease with anxiety and depression.