冠心病患者介入术后双心治疗的临床研究及现状

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摘要我国冠心病的发病率与病死率逐年升高，经皮冠状动脉介入治疗（PCI）是诊断和治疗冠心病的重要方法之一。但对部分患者而言，冠心病疾病本身、手术治疗的风险、支架造成的经济问题及术后可能出现的再狭窄、支架内血栓等因素都会给患者身心带来负担，易产生焦虑、抑郁等情绪，甚至可影响PCI的疗效和患者的生存质量。因此，心内科医生在积极救治患者心脏疾患的同时，还应注重其可能伴随的心理问题，并及时干预才可能使患者得到心脏、心理的和谐统一。本文主要就PCI术后常见的心理问题、产生的原因、诊断及治疗等方面的相关研究进展作一简要概述。

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	李益萍王肖龙▲

关键词 ：冠心病, 经皮冠状动脉介入治疗, 焦虑, 抑郁, 双心治疗

Abstract：The morbidity and mortality rate of coronary heart disease (CHD) is on the rise in China, and percutaneous coronary intervention (PCI) is one of the main methods to diagnose and treat CHD. However, for most patients, the risk of disease and surgical treatment, stent-induced economic problems, postoperative restenosis, stent thrombosis and other factors will give the patients physical and mental burden, which are easy to generate anxiety, depression and other emotion problems, severe cases can even affect the efficacy and quality of life. Therefore, while physicians treat patients with active heart diseases, they also need pay attention to psychological problems that may accompany the heart diseases. And timely intervention by heart physicians can make the patient get the heart, psychological harmony and unity. This article mainly gives a brief summary of the related research progress on the psychological problems, causes, diagnosis and treatment after PCI.

Key words： Coronary heart disease Percutaneous coronary intervention Anxiety Depression Treatment of heart disease and psychology

基金资助:国家自然科学基金项目（81573647）；
上海市科学技术委员会科研计划项目（14DZ2273200）；
上海市科委课题（14401972202）；
上海市卫生和计划生育委员会中医药科研专项课题（2016LP044）；
上海中医药大学预算内项目（自然科学类）（2015YSN42）。

引用本文:

李益萍王肖龙▲. 冠心病患者介入术后双心治疗的临床研究及现状[J]. 中国医药导报, 2017, 14(29): 28-31.
LI Yiping WANG Xiaolong▲. Clinical study and present situation of the treatment of heart disease and psychology to the patients with coronary heart disease after percutaneous coronary intervention. 中国医药导报, 2017, 14(29): 28-31.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2017/V14/I29/28

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