赵刘乐 常宁 刘小彦

[摘要] 目的 對冠心病伴焦虑状态在治疗期间应用辨体辨病辩证加心理治疗联合对疗效产生的影响进行观察，评估临床运用辨体辨病辩证加心理治疗在临床中的应用价值。 方法 方便选取2017年4月—2019年4月期间该院收治的冠心病伴焦虑状态患者60例，采取随机对照分组的方式将研究患者分成治疗组和对照组，每组30例。两组均予以常规治疗，治疗组在此基础上予以辨体辨病辩证加心理治疗，观察两组的疗效。结果 治疗组经治疗后SAS评分、SDS评分、住院时长分别为（9.13±3.26）分、（7.21±2.08）分、（12.53±1.14）d，对照组经治疗后SAS评分、SDS评分、住院时长分别为（25.58±3.17）分、（23.87±5.21）分、（20.70±2.05）d，治疗组经过治疗之后其SAS评分、SDS评分比对照组更低，治疗组经过治疗之后其住院时长比对照组更短，差异有统计学意义（t=9.322.P=0.001;t=9.740，P=0.001;t=5.642，P=0.020）。结论 冠心病伴焦虑状态患者在治疗过程中施予其辨体辨病辩证加心理治疗联合，可保障其疗效进一步提升，保障其SAS评分、SDS评分进一步降低，进一步保障其住院时长得以缩短可推广。

[关键词] 冠心病;辨证;焦虑状态;辨体辨病;心理治疗

[Abstract] Objective to evaluate the effect of the combination of syndrome differentiation and disease differentiation plus psychotherapy on the treatment of coronary heart disease with anxiety， and to evaluate the clinical application value of syndrome differentiation and disease differentiation plus psychotherapy. Methods 60 patients with coronary heart disease accompanied by anxiety were Convenient selected from April 2017 to April 2019. After retrospective study， the patients were divided into treatment group and control group. the number of cases in each group was equal to 30. One group received routine treatment （control group） and the other group received dialectics of body differentiation and disease differentiation plus psychotherapy （treatment group） besides routine treatment. the therapeutic effects of the two groups were compared. Results treatment group after treatment of the SAS scores and SDS score， hospitalization duration， respectively （9.13±3.26）points，（7.21±2.08）points，（12.53±1.14）d， the control group after treatment of the SAS scores and SDS score， hospitalization duration， respectively（25.58±3.17points，（23.87±5.21）points， （20.70±2.05）d， the treatment group after treatment of the SAS scores and SDS scores are lower than those of control group， treatment group after treatment the hospitalization duration is shorter than the control group， there were significant differences in comparison and analysis between groups，the difference was statistically significant （t=9.322.P=0.001; t=9.740， P=0.001; t=5.642， P=0.020）. Conclusion the combination of body differentiation and disease differentiation plus psychotherapy can ensure the further improvement of curative effect， the further reduction of SAS and SDS scores， and the shortening of hospitalization time for patients with coronary heart disease and anxiety state.

[Key words] Coronary heart disease; Syndrome differentiation; Anxiety state; Differentiation of body and mind; Psychotherapy

近些年来，随着我国社会水平的不断提升，冠心病人数明显增长，冠心病成为慢性非传染性疾病死亡的主要原因之一[1]。冠心病为常见疾病，主要是因为脂质代谢紊乱导致，患者血液之中会大量聚集脂质并沉积在动脉内膜之中，容易造成血管腔阻塞，对患者的生命安全造成威胁[2-3]。患有该病的患者一般会伴有心理疾病，主要出现不同程度的焦虑、抑郁以及紧张情绪，这会影响其预后[2-3]。……