| 黄敏虎,张润峰.双心诊疗模式对急性冠脉综合征患者血脂的影响研究[J].四川精神卫生杂志,2014,27(1):46-48.HUANG Min -hu,ZHANG Run -feng,The impacts of the psycho-cardiology treatment model on the blood lipid control of patients with acute coronary syndrome[J].SICHUAN MENTAL HEALTH,2014,27(1):46-48 |
| 双心诊疗模式对急性冠脉综合征患者血脂的影响研究 |
| The impacts of the psycho-cardiology treatment model on the blood lipid control of patients with acute coronary syndrome |
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| DOI： |
| 中文关键词: 急性冠脉综合征 双心诊疗模式 焦虑 抑郁 血脂 |
| 英文关键词:Acute coronary syndrome Psycho- cardiology treatment model Anxiety Depression Blood lipids |
| 基金项目:四川省绵阳市卫生局科研课题（200904） |
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| 中文摘要: |
| 目的 探讨双心诊疗模式对急性冠脉综合征（ACS）患者血脂控制的影响.方法 选取100例ACS患者,随机分为双心诊疗模式组（双心组）和对照组各50例.两组患者均给予常规治疗.双心组同时接受心理干预.于入院前、1月、3月,采用汉密尔顿焦虑量表17项（HAMA-17）和汉密尔顿抑郁量表（HAMD）评定两组患者焦虑和抑郁状况,同时检测总胆固醇（CHOL）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）.结果 ①入院前,两组HAMD-17和HAMA评分比较差异无统计学意义（P＞0.05）,3月后对照组评分[（22.56±4.99）,（22.81 ±3.93）]较入院前、1月时高,双心组评分[（11.60±4.95）,（12.44±4.13）]较入院前低,双心组评分下降更为明显（P＜0.05）.②入院1月、3月后,两组CHOL,LDL-C水平均较入院前降低（P＜0.05）,且双心组低于对照组（P＜0.05）.结论 双心诊疗模式可以改善ACS患者的心理状况,可能更有助于控制血脂. |
| 英文摘要: |
| Objective To discuss impacts of the psycho - cardiology treatment model on the blood lipid control of patients with acute coronary syndrome （ACS）. Methods One hundred patients with ACS were randomly divided into the PCTM group （50 pa- tients） and the control group （50 patients）. Both two groupsaccepted conventional treatments. But at the same time, the PCTM group accepted psychological intervention. Both groups were tested with Hamilton anxiety scale （ HAMA ） and Hamilton depression scale （HAMD） on admission, in one month and in three months respectively; the CHOL, HDL - C, LDL - C were also recorded. Results （1）There was no significant difference between HAMD and HAMA scores of both groups on admission （ P 〉 0.05 ）. After 3 months, the control group got higher scores [ （22.56± 4.99 ） , （22.81 ± 3.93 ） 1 than baseline and after one month, while the PCTM group scores [ （ 1 1. 60 ± 4.95 ）, （ 12.44 ± 4.13 ） ] were lower than at the baseline and the decreasing was significant. （ P 〈 0.05 ）. （2） After one or three months, the CHOL and LDL- C levels of both two groups were lower than the baseline（P 〈0.05 ）, and the PCTM group even lower（ P 〈 0.05 ）o Conclusion The PCTM may improve psychological states and be helpful in controlling the blood lipid |
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