心脏康复治疗在老年心血管病伴焦虑抑郁情绪患者中的临床效果

Observation and evaluation of clinical diagnosis and treatment effect of cardiac rehabilitation in elderly patients with cardiovascular disease with anxiety and depression

目的分析心脏康复治疗在老年心血管病伴焦虑抑郁情绪患者中的临床诊疗效果。方法选取2016年1月～2017年5月于长沙市第三医院收治的100例老年心血管病伴焦虑抑郁患者作为研究对象,随机将其分为观察组和对照组,每组50例,对照组使用帕罗西汀片进行治疗,观察组在对照组基础上联合心脏康复治疗,对比两组患者的临床治疗效果。结果两组患者治疗前的SAS、SDS评分以及N端脑钠肽前体(NT-proBNP)、左室舒张末期内径(LVDd)等相关临床指标差异无统计学意义(P>0.05);观察组治疗后的SAS和SDS评分低于对照组,差异有统计学意义(P<0.05);观察组各项生活质量评分均高于对照组(P<0.05);观察组治疗后的各项临床指标均明显优于对照组(P<0.05);观察组的急性心脑血管事件发生率为6%,显著低于对照组的24%(P<0.05)。结论心脏康复治疗可以有效改善老年心血管病伴焦虑抑郁患者的焦虑、抑郁等不良情绪,有利于提高患者的生活质量,改善患者的心功能指标和血压水平,降低患者的急性心脑血管事件发生率。

Objective To analyze the clinical diagnosis and treatment effect of cardiac rehabilitation therapy in elderly patients with cardiovascular disease and anxiety and depression.Methods100elderly patients with cardiovascular disease and anxiety and depression admitted to the Third Hospital of Changsha from January2016to May2017were randomly divided into observation group and control group,50cases in each group.Paroxetine tablets were treated,and the observation group was combined with cardiac rehabilitation on the basis of the control group,and the clinical treatment effects of the two groups were compared.Results There were no significant differences in SAS,SDS scores,N-terminal pro-brain natriuretic peptide(NT-proBNP),left ventricular enddiastolic diameter(LVDd)and other clinical indicators between the two groups(P>0.05).The scores of SAS and SDS were lower than those of the control group(P<0.05).The quality of life scores of the observation group were higher than those of the control group(P<0.05).It was significantly better than the control group(P<0.05);the incidence of acute cardiovascular and cerebrovascular events in the observation group was6%,which was significantly lower than that of the control group24%(P<0.05).Conclusion Cardiac rehabilitation can effectively improve the anxiety and depression of elderly patients with cardiovascular disease and anxiety and depression,which is beneficial to improve the quality of life of patients,improve the heart function index and blood pressure level,and reduce the incidence of acute cardiovascular and cerebrovascular events.