CAJ | 학술논문

目的：探讨双心医学模式在冠心病、高血压病合并抑郁患者中的应用。方法采用Zung抑郁自评量表（ SDS）对住院的冠心病、高血压病患者进行评分，符合条件的患者分为观察组和对照组。对照组给予常规药物治疗，观察组在此基础上应用双心医学模式进行心理干预，治疗前和治疗后4周观察两组患者的临床症状、SDS评分、B型脑钠肽（BNP）、左室射血分数（LVEF）、心电图变化情况。结果治疗前后观察组、对照组患者的临床疗效、BNP、LVEF以及SDS评分均有改善，且观察组改善情况优于对照组（P＜0．05）。结论对冠心病、高血压病合并抑郁患者在进行躯体疾病治疗的同时进行心理干预，可以取得更好的临床疗效。
목적：탐토쌍심의학모식재관심병、고혈압병합병억욱환자중적응용。방법채용Zung억욱자평량표（ SDS）대주원적관심병、고혈압병환자진행평분，부합조건적환자분위관찰조화대조조。대조조급여상규약물치료，관찰조재차기출상응용쌍심의학모식진행심리간예，치료전화치료후4주관찰량조환자적림상증상、SDS평분、B형뇌납태（BNP）、좌실사혈분수（LVEF）、심전도변화정황。결과치료전후관찰조、대조조환자적림상료효、BNP、LVEF이급SDS평분균유개선，차관찰조개선정황우우대조조（P＜0．05）。결론대관심병、고혈압병합병억욱환자재진행구체질병치료적동시진행심리간예，가이취득경호적림상료효。
Objective To investigate the application of psycho-cardiology medical mode in patients with coronary artery disease ( CAD) and hypertension complicated depression .Methods Hospitalized patients with CAD or hypertension were assessed with Zung self-rating depression scale ( SDS) .The selected cases with depression were divided into the observation group ( received intervention of psycho-cardiology medical mode based on routine medication ) and the control group ( received routine medication ) .Tests were done after 4 weeks and changes,including clinical symptoms,scores of SDS,B-type natriuretic peptide (BNP),left ventricular ejection fraction (LVEF) and e-lectrocardiogram ,of the two groups before and after therapy were statistically analyzed .Results Of all the observation and the control groups , clinical effects ,BNP,LVEF and total scores of SDS were improved before and after therapy ,and the observation group had better effects com-pared with the control group (P<0.05).Conclusion Combined psychological intervention and routine medication ,patients with CAD and hypertension complicated depression can have mental disorders treated and receive better clinical effects at the same time .