目的探讨心脏介入治疗前后冠心病患者的情绪障碍以及心理干预的效果。方法临床纳入接受PTCA+支架植入术治疗的冠心病患者80例,按照随机数字表法分为研究组与对照组。研究组患者于围手术期间进行渐进性肌肉放松训练,对照组患者不进行渐进性肌肉放松训练。采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)比较干预前后两组情绪变化情况,并对住院期间两组患者心率(HR)及收缩压(SBP)水平进行比较分析。结果治疗后,研究组SAS、SDS评分分别为(33.26±3.89)、(32.48±2.94),对照组SAS、SDS评分分别为(41.98±3.96)、(42.12±3.59),差异均有显著性(P<0.05);研究组术前1天、术中、术后当天、术后3天HR分别为(80.26±2.78)次/分、(85.77±3.16)次/分、(76.61±2.03)次/分、(74.24±2.24)次/分,对照组分别为(84.86±3.12)次/分、(93.81±3.30)次/分、(81.81±2.74)次/分、(75.83±3.29)次/分,差异均有显著性(P<0.05);研究组术前1天、术中、术后当天SBP分别为(123.16±12.94mm Hg)、(132.14±11.25)mm Hg、(115.26±10.66)mm Hg,对照组分别为(129.34±14.69)mm Hg、(143.79±15.14)mm Hg、(126.25±11.61)mm Hg,差异均有显著性(P<0.05)。结论实施PTCA+支架植入术的冠心病患者术前普遍存在焦虑、抑郁等负面情绪,而通过渐进性肌肉放松训练,能够有效缓解患者的焦虑、抑郁情绪。 Objective To investigate the emotional disturbance of patients with coronary heart disease before and after cardiac intervention and the effect of psychological intervention. Methods Eighty patients with coronary heart disease undergoing PTCA + stent implantation were randomly divided into study group and control group according to random number table. Patients in the study group underwent gradual muscle relaxation training during the perioperative period, while patients in the control group did not undergo progressive muscle relaxation training. The Self-rating Anxiety Scale (SAS) and Self-rating depression scale (SDS) were used to compare the emotional changes of the two groups before and after intervention. The heart rate (HR) And systolic blood pressure (SBP) levels for comparative analysis. Results After treatment, the scores of SAS and SDS in the study group were (33.26 ± 3.89) and (32.48 ± 2.94), respectively. The scores of SAS and SDS in the control group were (41.98 ± 3.96) and (42.12 ± 3.59), respectively P <0.05). The HR of the study group at one day before surgery, intraoperative, postoperative, and postoperative three days were (80.26 ± 2.78) / (85.77 ± 3.16) / (76.61 ± 2.03) / (74.24 ± 2.24) / min and the control group were (84.86 ± 3.12) / (93.81 ± 3.30) / (81.81 ± 2.74) / (75.83 ± 3.29) / SBP were (123.16 ± 12.94mm Hg), (132.14 ± 11.25) mm Hg, (115.26 ± 10.66) and (P <0.05) mm Hg, and the control group was (129.34 ± 14.69) mm Hg, (143.79 ± 15.14) mm Hg and (126.25 ± 11.61) mm Hg, respectively. Conclusion Coronary heart disease patients undergoing PTCA + stent implantation preoperatively generally have negative emotions such as anxiety and depression. By progressive muscle relaxation training, their anxiety and depression can be effectively alleviated.