心理干预联合胺碘酮治疗老年冠心病心律不齐的临床疗效分析
Clinical analysis of psychological intervention combined with amiodarone on the treatment of arrhythmia in elderly patients with coronary heart disease
张智敏 1毛美花1
作者信息
- 1. 衢州市常山县人民医院 内科,浙江 常山 324200
- 折叠
摘要
目的 分析心理干预联合胺碘酮治疗老年冠心病心律不齐的临床疗效.方法 选取衢州市常山县人民医院2015年2月~2016年9月收治的90例老年冠心病心律不齐患者为研究对象,随机分为对照组和试验组各45例.2组均予以常规治疗治疗,对照组同时给予胺碘酮治疗,试验组在此基础上进行心理干预,关注患者的心理状态,加强与患者的沟通和交流,增加患者的治疗信心和治疗依从性.比较分析2组患者的临床疗效.结果 试验组治疗有效率为93.3%显著高于对照组的73.3%,差异具有统计学意义(P<0.05).治疗后,试验组心率为(68.79±6.23)次/min显著低于对照组心率(92.30±7.52)次/min,差异具有统计学意义(P<0.05).结论 心理干预联合胺碘酮治疗老年冠心病心律不齐的临床疗效较为理想,能够显著改善患者临床症状,提高治疗有效率.
Abstract
Objective To study and analyze the clinical efficacy of psychological intervention combined with amiodarone on the treatment of arrhythmia in elderly patients with coronary heart disease. Methods 90 elderly patients with coronary heart disease and arrhythmia treated in Changshan people's hospital in Quzhou from February 2015 to September 2016 were randomly divided into the control group and the experimental group, 45 cases in each groups. The two groups was given routine treatment, the control group was treated with amiodarone, at this basis the experimental group were given psychological intervention. To pay attention to the psychological status of the patients, strengthen communication and exchanges with them, increase confidence and compliance during the treatment. The clinical efficacy of the two groups was compared and analyzed. Results The effective rate in the experimental group was 93.3%, which was significantly higher than 73.3% in the control group, the difference was statistically significant (P<0.05). After treatment, the heart rate in the experimental group was (68.79±6.23) times/min, which was significantly lower than (92.30±7.52) times/min in the control group, the difference was statistically significant (P<0.05). Conclusion The clinical curative effect is ideal which psychological intervention combined with amiodarone is used on the treatment of senile coronary heart disease arrhythmia , it can significantly improve the clinical symptoms of patients, improve the treatment efficiency, high safety, has clinical significance.
关键词
心理干预/胺碘酮/老年/冠心病/心律不齐Key words
psychological intervention/amiodarone/elderly/coronary heart disease/arrhythmia引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据