心理干预联合阿司匹林及替格瑞洛在急性心肌梗死患者中手术治疗中的应用及对生活质量的影响研究

摘要

Objective To discuss the effect of psychological intervention combined with aspirin on the quality of life in patients with acute myocardial infarction (AMI) and surgical treatment of acute myocardial infarction (AMI).Methods 78 patients with acute myocardial infarction undergoing operation in our hospital from January 2015 to June 2016 were randomly divided into experimental group and control group,39 cases in each groups.The control group was treated with clopidogrel and aspirin.The experimental group was treated with aspirin and aspirin and psychological intervention.The therapeutic effects of the two groups were compared and analyzed.Results The experimental group ECGST recovery rate was 82.05%, the pain relief rate was 94.87%, chest X-ray improvement rate was 71.79%, the control group of ECGST segment recovery rate was 61.53%, the pain relief rate was 71.79%, chest X-ray improvement rate was 48.71%, the recovery rate of clinical symptoms of the experimental group was significantly higher than the control group, with statistical significance the difference between the two groups (P<0.05);the quality of life of the experimental group was significantly better than the control group, with significant difference between two groups (P<0.05), experimental group after treatment, mean platelet volume and platelet count before treatment was significantly better than before treatment, the difference was statistically significant(P<0.05).Conclusion In patients with myocardial infarction treated with aspirin and ticagrelor and psychological nursing, found that patients with symptoms change obviously, and the quality of life has improved, is conducive to the recovery of patients, worthy of clinical popularization and application.%目的 探讨心理干预联合阿司匹林及替格瑞洛在急性心肌梗死患者手术治疗中的应用效果及对生活质量的影响.方法 选取2016年9月～2017年3月温州医科大学附属第一医院进行急性心肌梗死手术患者78例,随机分成实验组与对照组,各39例.对照组给予氯吡格雷和阿司匹林,实验组给予阿司匹林及替格瑞洛并进行心理干预,对两组患者的治疗效果进行对比和分析.结果 实验组ECGST段的恢复率为82.05%,胸痛的缓解率为94.87%,胸透改善率为71.79%,对照组的ECGST段的恢复率为61.53%,胸痛的缓解率为71.79%,胸透改善率为48.71%,实验组的临床症状恢复率明显高于对照组,差异具有统计学意义(P＜0.05);实验组的生活质量明显优于对照组,差异具有统计学意义(P＜0.05).结论 在心肌梗死患者手术治疗中使用阿司匹林及替格瑞洛并给予心理护理后,发现患者症状改变比较明显,且生活质量有所提高,有利于患者的恢复,值得在临床上推广和使用.