论文部分内容阅读
1目的 探讨情感障碍对急性心肌梗死 (AMI)病人的影响。2方法 根据抑郁自评量表 (SDS)评分 ,把 147例 AMI病人分为伴有抑郁症组和不伴有抑郁症组 ;伴有抑郁症组病人再随机分为治疗组和对照组 ,对治疗组进行干预治疗 ,治疗前后分别进行 SDS评分 ,对照组不进行心理干预治疗。 3结果 147例 AMI病人中伴有抑郁症者 5 7例 ,占 38.1% ;伴有抑郁症的 AMI病人病死率为 12 .5 % ,明显高于不伴有抑郁症的病人 (2 .2 % ) ,差异有显著性 (χ2 =5 .5 8,P<0 .0 5 ) ;通过对伴有抑郁症组进行心理及药物干预治疗 ,明显降低了 AMI的病死率。 4结论应高度重视 AMI后的情感障碍 ,及早进行心理疏导和药物干预 ,降低病死率
1 Objective To investigate the influence of affective disorder on acute myocardial infarction (AMI) patients. Methods According to SDS, 147 AMI patients were divided into two groups: depression group and depression group. Patients with depression group were divided into treatment group and control group randomly. Treatment group intervention treatment, respectively, before and after treatment of SDS score, the control group without psychological intervention. 3 Results 147 cases of AMI patients with depression in 57 cases, accounting for 38.1%; with AMI patients with depression mortality was 12.5%, significantly higher than those without depression (2.2% ), The difference was significant (χ2 = 5.58, P <0.05). By psychological treatment and drug intervention in depression group, the mortality of AMI was significantly reduced. 4 Conclusion Should attach great importance to the emotional disorder after AMI, early psychological counseling and drug intervention to reduce mortality