中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2011年
1期
54-57
,共4页
杨伯泉%朱慧民%王灵红%凌爱香%林祖近
楊伯泉%硃慧民%王靈紅%凌愛香%林祖近
양백천%주혜민%왕령홍%릉애향%림조근
冠状动脉疾病%认知疗法
冠狀動脈疾病%認知療法
관상동맥질병%인지요법
Coronary disease%Cognitive therapy
将90例≥65岁伴焦虑、抑郁、吸烟、饮酒、血脂、血压、血糖、体重指数异常的冠心病患者,依就诊顺序随机分为两组(各45例),分别行常规治疗(对照组)与常规治疗+认知行为干预(CBT)(CBT组).治疗1个月后,CBT组的各心身指标除健康状况问卷(SF-36)评分外均优于对照组(P<0.05或<0.01),6个月后SF-36评分(85±16)、症状自评量表评分(104±4)、汉密顿焦虑量表评分(10±4)、汉密顿抑郁量表评分(12±3)、吸烟(0.6±0.2)支/d、饮酒(10.1±2.3)g/d、血压[收缩压(123±11)mm Hg(1 mm Hg=0.133 kPa)、舒张压(77±5)mm Hg]、空腹血糖[(4.2±2.6)mmol/L]、体重指数(22.5±0.5),均显著优于对照组(P<0.01).提示结合CBT能显著提高冠心病患者心身健康和生存质量.
將90例≥65歲伴焦慮、抑鬱、吸煙、飲酒、血脂、血壓、血糖、體重指數異常的冠心病患者,依就診順序隨機分為兩組(各45例),分彆行常規治療(對照組)與常規治療+認知行為榦預(CBT)(CBT組).治療1箇月後,CBT組的各心身指標除健康狀況問捲(SF-36)評分外均優于對照組(P<0.05或<0.01),6箇月後SF-36評分(85±16)、癥狀自評量錶評分(104±4)、漢密頓焦慮量錶評分(10±4)、漢密頓抑鬱量錶評分(12±3)、吸煙(0.6±0.2)支/d、飲酒(10.1±2.3)g/d、血壓[收縮壓(123±11)mm Hg(1 mm Hg=0.133 kPa)、舒張壓(77±5)mm Hg]、空腹血糖[(4.2±2.6)mmol/L]、體重指數(22.5±0.5),均顯著優于對照組(P<0.01).提示結閤CBT能顯著提高冠心病患者心身健康和生存質量.
장90례≥65세반초필、억욱、흡연、음주、혈지、혈압、혈당、체중지수이상적관심병환자,의취진순서수궤분위량조(각45례),분별행상규치료(대조조)여상규치료+인지행위간예(CBT)(CBT조).치료1개월후,CBT조적각심신지표제건강상황문권(SF-36)평분외균우우대조조(P<0.05혹<0.01),6개월후SF-36평분(85±16)、증상자평량표평분(104±4)、한밀돈초필량표평분(10±4)、한밀돈억욱량표평분(12±3)、흡연(0.6±0.2)지/d、음주(10.1±2.3)g/d、혈압[수축압(123±11)mm Hg(1 mm Hg=0.133 kPa)、서장압(77±5)mm Hg]、공복혈당[(4.2±2.6)mmol/L]、체중지수(22.5±0.5),균현저우우대조조(P<0.01).제시결합CBT능현저제고관심병환자심신건강화생존질량.
Ninety elderly patients with coronary heart disease were randomly divided into 2 groups:in study group (n = 45) the cognitive-behavioral intervention as well as conventional medical treatment were performed and in control group ( n = 45 ) only conventional treatment was given. Short Form-36 ( SF-36),symptom checklist 90(SCL-90), Hamilton anxiety scale( HAMA), Hamilton depression scale( HAMD)were evaluated before and after intervention, the serum total cholesterol (TC), triglyceride (TG)and body mass index (BMI)were measured, the smoking and drinking behaviors were recorded. After 6-month of intervention the smoking [(0. 6 ± 0. 2)cigarettes/d] and drinking [(10. 1 ± 2. 3)g/d] behaviors, the scores of SF-36 (85 ± 16), SCL-90 (104 ±4), HAMA (10 ±4) and HAMD (12 ±3), the systolic blood pressure [( 123 ± 11 ) mm Hg ( 1 mm Hg = 0. 133 kPa)], diastolic blood pressure [(77 ± 5 ) mm Hg], the fasting blood glucose [(4. 2 ± 2. 6 ) mmol/L] and BMI ( 22.5 ± 0. 5 ) in study group were significantly improved compared to control group ( P < 0. 01 ). The results indicate that cognitive-behavioral intervention can improve the mental state and quality of life in elderly patients with coronary heart disease.