【摘要】 目的 观察冠心病(CAD)合并焦虑症的综合治疗效果。方法 采用Hamilton焦虑量表对118例不稳定心绞痛(UAP)病人进行筛查，其中有62例合并焦虑症，将该62例作为研究对象，随机分为两组，观察组给予常规抗心绞痛药物，综合治疗组在常规基础上加用多虑平12.5～25mg，1～2次/d;同时给予心理治疗，观察4周。结果 冠心病患者中焦虑症发生率为52.54%，治疗组有效率96.6%，对照组为79.3%，两组相比差异有显著性(P<0.05)。结论 冠心病患者中合并焦虑症者发生率较高;综合治疗可明显改善冠心病人的临床症状。

    Niu Jingting

    General Hospital of Han-Xing Management Bureau，Handan056001.

    【Abstract】 Objective To observe the effect of comprehensive treatment of CAD complicated with anxiety.Methˉods Hamilto anxiety rating scales was used to analyse118patients with UAP and62patients complicated with anxiety.62patients were randomly divided into control group and study group.All patients received the same standard treatment.The patients in study group was treated with Doxepin12.5～25mg once or twice daily for4weeks and received psychoˉlogical treatment.Results Anxiety occurred in52.54%of cases with CAD.The effective rates of the study group and control group were96.6%and79.3%respectively.These results were significantly better than counter parts of control group(P<0.05).Conclusions The patients with CAD have the high incidence rate of anxiety.Synthetic treatment can evidently improve clinical symptom of patients. ......