CAJ | 학술논문

目的：观察腹式呼吸放松训练法联合针刺疏肝解郁法对预防急性心肌梗死患者早期抑郁状态的临床效果。方法：将53例急性心肌梗死患者随机分为两组，对照组予西医基础治疗，同时进行常规医护病情宣教。治疗组在对照组治疗的基础上加用腹式呼吸放松训练法及疏肝解郁法针刺治疗，观察两组治疗前后Zung氏抑郁自评量表系统（SDS）评分及临床疗效。结果：两组组内治疗后与治疗前SDS评分比较，均有增加，差异显著（P＜0.05），两组组间治疗后SDS评分比较，差异显著（P＜0.05）。两组治疗后抑郁程度比较，差异非常显著（P＜0.01）；治疗组治疗后抑郁状态发生率44.4%，对照组抑郁状态发生率88.46%，差异非常显著（P＜0.01）。结论：腹式呼吸放松训练法联合针刺疏肝解郁法能有效预防急性心肌梗死患者早期的抑郁状态。
목적：관찰복식호흡방송훈련법연합침자소간해욱법대예방급성심기경사환자조기억욱상태적림상효과。방법：장53례급성심기경사환자수궤분위량조，대조조여서의기출치료，동시진행상규의호병정선교。치료조재대조조치료적기출상가용복식호흡방송훈련법급소간해욱법침자치료，관찰량조치료전후Zung씨억욱자평량표계통（SDS）평분급림상료효。결과：량조조내치료후여치료전SDS평분비교，균유증가，차이현저（P＜0.05），량조조간치료후SDS평분비교，차이현저（P＜0.05）。량조치료후억욱정도비교，차이비상현저（P＜0.01）；치료조치료후억욱상태발생솔44.4%，대조조억욱상태발생솔88.46%，차이비상현저（P＜0.01）。결론：복식호흡방송훈련법연합침자소간해욱법능유효예방급성심기경사환자조기적억욱상태。
Objective: To observe the effects on abdominal breathing relaxation training combined with Shugan Jieyu method with acupuncture to prevent depression of early acute myocardial infarction.Methods: 53 patients with acute myocardial infarction were randomly divided into 2 groups, control group were treated with western medicine therapy and routine medical illness education.Based on the control group,patients in the treatment group were treated with abdominal breathing relaxation training method and Shugan Jieyu method with acupuncture,2 groups were observed before and after treatment with Zung's self-rating depression scale (SDS)and the clinical efficacy.Results: Compared to before treatment,SDS scores in the 2 groups after treatment were significantly increased,with significant difference(P<0.05).After treatment,SDS score between 2 groups,there was significant difference(P<0.05).Comparison of the degree of depression after treatment in the 2 groups,the difference was significant(P<0.01);After treatment,depression incidence in the treatment group was 44.4%,the control group was 88.46%,the difference was significant (P<0.01).Conclusion:Abdominal breathing relaxation training combined with Shugan Jieyu method with acupuncture can effectively prevent the depression in patients with acute myocardial infarction.