首页> 中文期刊> 《四川医学》 >心理干预对急性冠脉综合征并发焦虑障碍患者血清皮质醇和超敏C反应蛋白的影响

心理干预对急性冠脉综合征并发焦虑障碍患者血清皮质醇和超敏C反应蛋白的影响

         

摘要

Objective To investigate the effect of psychological intervention on serum cortisol,high sensitive C reactive protein(hs-CRP) and blood glucose levels in patients with acute coronary syndrome(ACS) complicated with anxiety disorder. Methods 160 cases of ACS patients complicated with anxiety disorder in our hospital were selected and randomly divided into 2 groups. Patients in the control group were given conventional treatment of acute coronary syndrome,and the intervention group re-ceived conventional therapy of acute coronary syndrome combined withpsychological intervention. After 3 months of treatment,the anxiety score of two groups of patients were detected,and serum cortisol,high sensitivity C reactive protein and change of blood glu-cose levels were detected. Results After 3 months of treatment,the anxiety scale score,serum cortisol,high sensitivity C reactive protein and blood glucose levels in the intervention group were decreased,significantly lower than those before treatment and those in control group(P<0. 05). Conclusion Conventional therapy combined with psychological intervention for patients with anxiety disorders in patients with ACS is more effective.%目的 探讨心理干预对急性冠脉综合征(ACS)并发焦虑障碍患者血清皮质醇、超敏C反应蛋白(hs-CRP)及血糖水平的影响.方法 选取本院160例并发焦虑障碍的ACS患者,随机分为两组,对照组给予急性冠脉综合征常规治疗,干预组给予急性冠脉综合征常规治疗联合心理干预,治疗3个月后,对患者进行焦虑评分,并检测两组患者血清皮质醇、超敏C反应蛋白及血糖水平变化.结果 治疗3个月后,干预组患者状态焦虑量表评分、血清皮质醇、超敏C反应蛋白及血糖水平均降低,且显著低于治疗前及对照组水平(P<0.05).结论 常规治疗联合心理干预对并发焦虑障碍的ACS患者更有效.

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