探讨正念减压康复对气滞血瘀型冠心病患者焦虑抑郁的疗效观察

Effect of Mindfulness Based Stress Reduction Rehabilitation Treatment of Coronary Heart Disease Patients with Qi Stagnation and Blood Stasis Syndrome of Anxiety And Depression

目的：探讨正念减压康复对气滞血瘀型冠心病患者焦虑、抑郁的临床干预效果。方法：将2015年1月—2016年12月期间在解放军杭州疗养院参加疗养的108例气滞血瘀型冠心病患者,随机分为对照组和治疗组。对照组采用常规药物治疗,治疗组在对照组基础上给予正念减压治疗,分别采用焦虑自评量表（Self-Rating Anxiety Scale,SAS）、抑郁自评量表SDS（Self-Rating Depression Scale,SDS）进行患者治疗前后焦虑、抑郁的干预效果评估。结果：治疗前,两组患者焦虑、抑郁评分均不具有统计学差异（P〉0.05）;治疗后,上述指标均有改善。治疗组焦虑得分（43.23±3.45）分和抑郁得分（40.98±3.76）分均显著低于对照组,差异有统计学意义（P〈0.05）。结论：正念减压康复治疗对气滞血瘀型冠心病患者的焦虑、抑郁有显著改善作用。

Objective： To explore the mindfulness based stress reduction of anxiety and depression in coronary heart disease（ CHD） patients with Qi stagnation and blood stasis syndrome. Methods： During January 2015-December 2016 in the People＇s Liberation Army of Hangzhou Sanatorium,120 cases of coronary heart disease patients with Qi stagnation and blood stasis syndrome were randomly divided into two groups： control group and treatment group. The control group used conventional drug therapy. The treatment group on the basis of control group was given mindfulness based stress reduction treatment. Respectively by the self-assessment lists of Anxiety（ Self-Rating Anxiety Scale,SAS）,Depression Self Rating Scale SDS（ Self-Rating Scale,SDS）assessment before and after treatment,the patients＇ anxiety and depression scores were observed and compared. Results： Before treatment,two groups＇ anxiety and depression scores were not statistically difference（ P〉0. 05）. After treatment,the above indexes were improved. Anxiety score（ 43. 23 ± 3. 45） and depression score（ 40. 98 ± 3. 76） of the treatment group were significantly lower than those of the control group and the difference was statistically significant（ P〈0. 05）. Conclusion： Mindfulness based stress reduction treatment of anxiety and depression in coronary heart disease patients with Qi stagnation and blood stasis syndrome has a significant effect.