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目的调查冠心病介入治疗发生血管迷走神经反射患者的心理状态问卷各项评估指标。方法选择近期在本院接受介入治疗发生血管迷走神经反射冠心病患者(观察组)22例,并按相同年龄、相同性别、相同文化程度与同期接受相同治疗的同病患者(对照组)1:1配对。两组患者均在介入治疗后6 h内接受心脏病患者心理状态问卷(HPPQ)评估。结果观察组HPPQ问卷中“自主健康感”维度得分明显低于对照组,而无能为力感、沮丧感和社交障碍感等维度得分均明显高于对照组同期结果(P均<0.01～0.05)。结论冠心病介入治疗中发生血管迷走神经反射患者心理情绪指标评分较差。
Objective To investigate the assessment of psychological status questionnaire in patients with vasovagal nerve reflex following interventional therapy of coronary heart disease. Methods Twenty-two patients (control group) with vasovagal-refractory coronary heart disease underwent interventional therapy in our hospital recently. The patients with the same disease (control group) with the same age, same sex, pair. Two groups of patients were assessed by Psychological State Questionnaire (HPPQ) within 6 h after PCI. Results In the observation group, the dimensions of “Self-health ” in the HPPQ questionnaire were significantly lower than those in the control group, but the dimension scores of powerlessness, depression and social disturbance were significantly higher in the observation group than in the control group (all P <0.01-0.05) . Conclusion The score of psychological and emotional index of patients with vasovagal reflex in interventional therapy of coronary heart disease is poor.