生物反馈治疗对合并焦虑、抑郁的老年冠心病患者自主神经功能状态和心率变异性的影响

发布时间：2018-04-17 17:31

本文选题：焦虑 + 抑郁　；参考：《山东医药》2016年48期

【摘要】：目的探讨生物反馈治疗对合并焦虑、抑郁的老年冠心病患者自主神经功能状态和心率变异性的影响。方法选择合并焦虑、抑郁的老年冠心病患者60例,随机分成观察组和对照组各30例。对照组给予常规治疗,观察组在常规治疗基础上给予生物反馈治疗,共治疗8周。比较两组治疗前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,以及心率变异性时域指标,包括全部正常窦性心动间期标准差(SDNN)、相邻正常窦性心动间期差的均方根(RMSSD)、相邻心动间期之差50 ms的心搏数占总正常窦性心动间期数的百分率(PNN50)。结果与治疗前比较,观察组治疗后SAS、SDS评分明显降低,SDNN、RMSSD、PNN50明显升高(P均0.05);对照组治疗前后各指标比例无明显差异(P均0.05)。结论生物反馈治疗能够提高合并焦虑、抑郁的老年冠心病患者心率变异性时域指标,改善其自主神经功能状态。
[Abstract]:Objective to investigate the effects of biofeedback therapy on autonomic nervous function and heart rate variability in elderly patients with coronary heart disease (CHD) with anxiety and depression.Methods 60 elderly patients with coronary heart disease complicated with anxiety and depression were randomly divided into two groups: the observation group (n = 30) and the control group (n = 30).The control group was given routine treatment, the observation group was treated with biofeedback on the basis of routine treatment for 8 weeks.The scores of SAS and SDS before and after treatment and time domain indexes of heart rate variability were compared between the two groups.It included all the normal sinus interval standard deviation (SDNN), RMS SDN (RMS SDN) of adjacent normal sinus intercardia difference (RMS SDN), and the percentage of cardiac beats in the total normal sinus intercardia period (50 Ms) of the adjacent normal sinus intercardiac period (RMSSDN) and PNN50 (P < 0.05).Results compared with before treatment, the scores of SASN SDS in the observation group decreased significantly after treatment, and the RMSSDN 50 increased significantly (P 0.05) in the observation group, but there was no significant difference in the ratio of each index before and after treatment in the control group (P 0.05).Conclusion Biofeedback therapy can improve the time domain index of heart rate variability and improve the autonomic nervous function of elderly patients with anxiety and depression.
【作者单位】：天津市第一中心医院;
【基金】：天津市卫生局科技基金资助项目(2011KR02)
【分类号】：R541.4;R749

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