双心模式干预对稳定型心绞痛合并焦虑抑郁症患者影响研究

The effect of bicardiac mode intervention on cardiac function of patients with stable angina pectoris and anxiety-depression

目的观察双心模式干预对稳定型心绞痛合并焦虑抑郁症患者的影响。方法选取2017年2月至2018年2月,北京水利医院收治的86例稳定型心绞痛合并焦虑抑郁患者。随机分为对照组和观察组,每组43例。对照组予以常规治疗,观察组予以双心模式干预。结果干预后,观察组SAS评分(46.28±2.04)分,对照组SAS评分(57.15±2.54)分,差异有统计学意义(t=9.524,P=0.001);观察组SDS评分(45.13±2.25)分,对照组SDS评分(58.35±3.34),差异有统计学意义(t=10.549,P=0.000)。干预后观察组左室射血分数(LVEF)为(55.83±3.28)%,对照组LVEF为(46.52±3.12)%,差异有统计学意义(t=9.571,P=0.003);观察组左室舒张末内径(LVEDD)为(41.25±1.42)mm,对照组(49.34±1.27)mm,差异有统计学意义(t=10.235,P=0.001);观察组左室收缩末内径(LVESD)为(25.35±1.58) mm,对照组(30.23±2.69)mm,差异有统计学意义(t=9.845,P=0.002)。观察组干预总有效率97.68%,对照组干预后总有效率79.07%,差异有统计学意义(χ~2=7.242,P=0.007)。结论双心模式干预应用于稳定型心绞痛合并焦虑抑郁患者中,能够逐渐消除患者的不良心理情绪,从而改善患者心功能指标,提高稳定型心绞痛治疗效果。

Objective To discuss the effect of bicardiac intervention on cardiac function of patients with stable angina pectoris and anxiety-depression. Methods 86 patients with stable angina pectoris complicated with anxiety-depression treated in Beijing Water Resources Hospital from February 2017 to February 2018 were enrolled into the study.They were randomly divided into two groups.Patients in study group received bi-cardiac mode intervention, while those in control group received routine treatment. Results After the intervention, the SAS score and SDS score of patients in study group were significantly lower compared to those in control group(46.28±2.04 vs 57.15±2.54;t=9.524, P=0.001)(45.13±2.25 vs 58.35±3.34;t=10.549, P=0.000).After the intervention, there were significant differences in LVEF(t=9.571,P=0.003), LVEDD(t=10.235, P=0.001) and LVESD(t=9.845, P=0.002) between the two groups.The overall effective rate of intervention was 97.68% in the study group and 79.07% in the control group, the difference was statistically significant(χ^2=7.242, P=0.007). Conclusions The application of bi-cardiac mode intervention in patients with stable angina pectoris and anxiety-depression can gradually eliminate the adverse psychological mood of patients, improve cardiac function and treatment effect of stable angina pectoris.