生物反馈干预对阵发性房颤转律治疗患者的疗效及负性情绪的影响

Effect of biofeedback intervention on the efficacy and negative emotion of patients treated with paroxysmal atrial fibrillation

目的探讨生物反馈干预对阵发性房颤转律治疗患者的疗效及负性情绪的影响。方法选取2016年1月~2018年1月期间就诊的阵发性房颤患者108例,随机分为观察组(n=54)与对照组(n=54)。两组均予以胺碘酮负荷剂量+维持剂量转复心律,对照组予以常规的房颤治疗后干预,观察组予以生物反馈干预。观察干预后两组房颤转律疗效、复发率及对焦虑、抑郁等负性情绪的影响。结果观察组临床治疗总有效率明显高于对照组(χ^2=4.19,P<0.05),观察组观察期内复发率明显低于对照组(χ^2=3.97,P<0.05);治疗4周后,两组负性情绪SAS和SDS评分均较前下降(P<0.05或P<0.01),且观察组下降幅度较对照组更显著(P<0.05)。结论生物反馈干预阵发性房颤转律治疗患者能提高治疗效果,减少房颤复发,同时能够改善患者焦虑、抑郁等负性情绪。

Objective To investigate the effect of biofeedback intervention on the efficacy and negative emotion of patients treated with paroxysmal atrial fibrillation. Methods A total of 108 patients with paroxysmal atrial fibrillation who were admitted between January 2016 and January 2018 were randomL y divided into observation group(n=54) and control group(n=54). Both groups were treated with amiodarone loading dose+maintenance dose to transfer heart rhythm.The control group was treated with conventional intervention after treatment of atrial fibrillation. The observation group was given biofeedback intervention. The effect of atrial fibrillation cardioversion, recurrence rate and the effect on negative emotions such as anxiety and depression were observed after intervention. Results The effective rate of total clinical treatment in the observation group was significantly higher than that in the control group(χ^2=4.19, P<0.05). The recurrence rate in the observation group was significantly lower than that in the control group in the observation period(χ^2=3.97, P<0.05). After 4 weeks of treatment, the SAS and SDS scores of the negative emotion in the two groups were lower than those before treatment(P<0.05 or P<0.01), and the decrease in the observation group was more significant than that in the control group(P<0.05). Conclusion Biofeedback intervention in patients with paroxysmal atrial fibrillation cardioversion can improve the treatment effect, reduce the recurrence of atrial fibrillation, and improve the negative emotions such as anxiety and depression.