不同起搏器植入部位对房室传导阻滞患者情绪状态的影响

发布时间：2018-06-22 16:28

本文选题：情绪 + 焦虑　；参考：《中国全科医学》2017年18期

【摘要】：目的观察不同起搏器植入部位对房室传导阻滞患者焦虑、抑郁情绪的影响,以期引起医生在治疗躯体疾病的同时,重视患者情绪状态的变化。方法根据纳入与排除标准,选取2012年12月—2014年12月河北医科大学第一医院心内科因高度或完全房室传导阻滞植入DDD型号或DDDR型号起搏器的患者78例为研究对象。采用随机数字表法将患者分为右心室心尖部(RVA)组(38例)和右心室流出道间隔部(RVOTs)组(40例)。收集患者一般资料,记录患者术前及术后4周QRS波群时限,术前、术后1周、术后4周焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果 RVA组术后4周QRS波群时限长于RVOTs组(P0.05)。两组术后4周QRS波群时限均长于术前(P0.05)。起搏器植入部位与时间在SAS、SDS评分上不存在交互作用(P0.05);起搏器植入部位在SAS、SDS评分上主效应不显著(P0.05);时间在SAS、SDS评分上主效应显著(P0.05);两组术后4周SAS、SDS评分均低于术前、术后1周(P0.05)。结论 RVA起搏及RVOTs起搏均可减少患者的焦虑、抑郁症状,且两者间无差别。
[Abstract]:Objective to observe the effects of different pacemaker implantation sites on anxiety and depression in patients with atrioventricular block (AVB), so as to cause doctors to pay attention to the changes of patients' emotional state while treating somatic diseases. Methods according to the criteria of inclusion and exclusion, 78 patients with DDD or DDDR pacemakers implanted in Department of Cardiology of the first Hospital of Hebei Medical University from December 2012 to December 2014 were selected as subjects. The patients were randomly divided into right ventricular apex (RVA) group (38 cases) and right ventricular outflow tract septum (RVOTs) group (40 cases). The general data of the patients were collected and the QRS wave duration before and 4 weeks after operation was recorded. The scores of self rating anxiety scale (SAS) and self rating depression scale (SDS) were recorded before and 1 week after operation and 4 weeks after operation. Results QRS wave group duration in RVA group was longer than that in RVOTs group 4 weeks after operation (P0.05). The time limit of QRS wave group in both groups was longer than that before operation 4 weeks after operation (P0.05). There was no interaction between pacemaker implantation site and time on SASU SDS score (P0.05); pacemaker implantation site had no significant effect on SASU SDS score (P0.05); time was significant on SASU SDS score (P0.05); both groups had lower SASU SDS score at 4 weeks after operation and 1 week after operation (P0.05). Conclusion RVA pacing and RVOTs pacing can reduce anxiety and depression symptoms, and there is no difference between them.
【作者单位】：河北医科大学第一医院心内科;
【基金】：河北省科技计划项目(122777112)
【分类号】：R541.7

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