朱晓晶

[摘要]目的 探讨急性冠脉综合征伴有焦虑、抑郁症状患者的临床心理干预疗效。 方法 选择ACS伴有焦虑、抑郁症状的患者116例，序号法分为干预组（n=58）和对照组（n=58），入选病例均给予规范的心血管药物治疗，干预组在正常治疗基础上加心理干预治疗。观察4个月后两组ACS症状的改善情况及不良反应。结果 干预组ACS症状改善率高于对照组；两组用药期间均未见药物不良反应，无意外死亡病例。 结论 常规治疗联合心理干预对合并有焦虑、抑郁症状的ACS患者更有效，且安全性良好。

[关键词]急性冠脉综合症；焦虑；抑郁

[中图分类号]R541.4 [文献标识码]B [文章编号]2095-0616（2014）20-215-02

Analysis of the effect of psychological intervention on the patients with acute coronary syndromes

ZHU Xiaojing

Department of Psychological Rehabilitation， Yantai Hospital Affiliated to Binzhou Medical University，Yantai 264100， China[Abstract]Objective To explore the clinical effect of psychological intervention for patients with anxiety， depression，who were acute coronary syndrome. Methods 116 ACS patients，who were anxiety and depression，were selected and divided into intervention group （n=58） and control group （n=58） though Serial number method. All patients were given the standard treatment of cardiovascular drugs. In the normal therapy， intervention group were given psychological intervention therapy. 4 months later， ACS symptoms and adverse reaction of two groups were observed. Results The intervention group ACS symptom improvement rate was higher than the control group， and the two groups were no adverse drug reaction and no cases of accidental death during the loading phase. Conclusion The conventional treatment combined with psychological intervention more effective with anxiety， depressive symptoms of the merger of the ACS patients， and the safety is good.

[Key words]Acute coronary syndrome； Anxiet； Depression

急性冠状动脉综合征（acute coronary syndrome，ACS）包括不稳定型心绞痛非S-T段抬高心肌梗死和S-T段抬高心肌梗死[1-2]。随着现代医学由过去单纯的生物医学模式向生物-心理-社会医学模式转变，人们对冠状动脉粥样硬性心脏病（冠心病）的心身关系越来越重视。ACS的发病率呈逐年上升趋势，作为冠心病的重要组成部分，也是冠心病死亡的主要原因[3-5]。近年研究发现[6-7]，ACS患者伴有焦虑抑郁的患者日益增多，这部分患者采用常规心血管药物规范治疗效果欠佳，本研究通过对ACS患者的焦虑抑郁状况及相关因素进行调查研究，了解ACS患者的焦虑抑郁负性情绪的状态，为ACS患者实施心理评估，对已经存在有焦虑、抑郁负性情绪的ACS患者采取心理干预措施，并通过自身对照的方法评价心理干预对合并有焦虑抑郁负性情绪的ACS患者的心理治疗的效果，报道如下。……