双心医学模式对慢性心力衰竭患者的影响(1)
[摘要] 目的 探讨双心医学模式对慢性心力衰竭患者的影响。 方法 选取哈尔滨医科大学附属第二医院重症医学科2017年2月～2019年2月收治的120例慢性心力衰竭患者为研究对象，根据随机纸片法分为对照组(常规医学模式)56例和观察组(双心医学模式)64例。观察两组干预前后的Zung焦虑自评量表(SAS)评分、Zung抑郁自评量表(SDS)评分、5 min窦性RR间期平均值标准差(SDANN)、24 h正常的RR间期的标准差(SDNN)、相邻RR间期的差值(rMSSD)、左室射血分数、心排出量、每搏输出量。结果 干预前，两组SAS评分、SDS评分、SDANN、SDNN、rMSSD、左室射血分数、心排出量、每搏输出量比较，差异无统计学意义(P > 0.05)。两组干预后SAS评分与SDS评分均明显低于干预前，SDANN、SDNN、rMSSD均明显快于干预前，左室射血分数明显高于干预前，心排出量、每搏输出量均明显大于干预前，且观察组干预后SAS评分与SDS评分均低于对照组，SDANN、SDNN、rMSSD均快于对照组，左室射血分数高于对照组，心排出量、每搏输出量均大于对照组，差异均有统计学意义(P < 0.05)。 结论 双心医学模式在慢性心力衰竭患者中应用可改善不良情绪，降低心率變异性，改善心功能，值得临床推广应用。
[关键词] 双心医学模式;慢性心力衰竭;Zung焦虑自评量表;Zung抑郁自评量表;5 min窦性RR间期平均值标准差;24 h正常的RR间期的标准差;相邻RR间期的差值
[中图分类号] R541.6 [文献标识码] A [文章编号] 1673-7210(2019)11(b)-0071-04
The influence of double heart medical model on patients with chronic heart failure
CHEN Xiaofeng
Department of ICU， the Second Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150086， China
[Abstract] Objective To explore the influence of double heart medical model on patients with chronic heart failure. Methods 120 patients with chronic heart failure treated in Department of ICU of the Second Affiliated Hospital of Harbin Medical University from February 2017 to February 2019 were selected as study objects. According to the random paper method， they were divided into two groups： 56 patients in control group (conventional medical mode) and 64 patients in observation group (double heart medical mode). The score of self-rating anxiety scale (SAS)， score of self-rating depression scale (SDS)， standard diviation average of NN intervals (SDANN)， standard diviation of NN intervals (SDNN)， the difference between root mean square of succe successive differences (rMSSD)， left ventricular ejection fraction， cardiac output and stroke output were observed before and after the intervention in two groups. Results Before intervention， there were no significant differences in SAS score， SDS score， SDANN， SDNN， rMSSD， left ventricular ejection fraction， cardiac output and stroke output between two groups (P > 0.05). After intervention， the scores of SAS and SDS in two groups were significantly lower than those before intervention， SDANN， SDNN and rMSSD in two groups were significantly faster than those before intervention， left ventricular ejection fraction in two groups was significantly higher than that before intervention， cardiac output and stroke output in two groups were significantly greater than those before intervention; the scores of SAS and SDS in observation group were lower than those in control group， SDANN， SDNN and rMSSD in observation group were faster than those in control group， left ventricular ejection fraction in observation group was higher than that in control group， cardiac output and stroke output in observation group were higher than those in control group， the differences were statistically significant (P < 0.05). Conclusion The application of double heart medical model in patients with chronic heart failure can improve bad mood， reduce heart rate variability and improve heart function， which is worthy of clinical application., 百拇医药(陈晓峰)
[关键词] 双心医学模式;慢性心力衰竭;Zung焦虑自评量表;Zung抑郁自评量表;5 min窦性RR间期平均值标准差;24 h正常的RR间期的标准差;相邻RR间期的差值
[中图分类号] R541.6 [文献标识码] A [文章编号] 1673-7210(2019)11(b)-0071-04
The influence of double heart medical model on patients with chronic heart failure
CHEN Xiaofeng
Department of ICU， the Second Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150086， China
[Abstract] Objective To explore the influence of double heart medical model on patients with chronic heart failure. Methods 120 patients with chronic heart failure treated in Department of ICU of the Second Affiliated Hospital of Harbin Medical University from February 2017 to February 2019 were selected as study objects. According to the random paper method， they were divided into two groups： 56 patients in control group (conventional medical mode) and 64 patients in observation group (double heart medical mode). The score of self-rating anxiety scale (SAS)， score of self-rating depression scale (SDS)， standard diviation average of NN intervals (SDANN)， standard diviation of NN intervals (SDNN)， the difference between root mean square of succe successive differences (rMSSD)， left ventricular ejection fraction， cardiac output and stroke output were observed before and after the intervention in two groups. Results Before intervention， there were no significant differences in SAS score， SDS score， SDANN， SDNN， rMSSD， left ventricular ejection fraction， cardiac output and stroke output between two groups (P > 0.05). After intervention， the scores of SAS and SDS in two groups were significantly lower than those before intervention， SDANN， SDNN and rMSSD in two groups were significantly faster than those before intervention， left ventricular ejection fraction in two groups was significantly higher than that before intervention， cardiac output and stroke output in two groups were significantly greater than those before intervention; the scores of SAS and SDS in observation group were lower than those in control group， SDANN， SDNN and rMSSD in observation group were faster than those in control group， left ventricular ejection fraction in observation group was higher than that in control group， cardiac output and stroke output in observation group were higher than those in control group， the differences were statistically significant (P < 0.05). Conclusion The application of double heart medical model in patients with chronic heart failure can improve bad mood， reduce heart rate variability and improve heart function， which is worthy of clinical application., 百拇医药(陈晓峰)