艾司西酞普兰辅助治疗对非ST段抬高型急性冠脉综合征PCI术后抑郁患者心理状态及对心功能的影响

Effect of escitalopram adjuvant therapy on psychological state and cardiac function in patients with depression after PCI with non-ST-segment elevation acute coronary syndrome

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(1)
作者
作者单位

鹤壁市人民医院心血管内科 ;

摘要
【摘要】目的:探究艾司西酞普兰辅助治疗对非ST段抬高型急性冠脉综合征(NSTE-ACS)经皮冠状动脉介入(PCI)术后抑郁患者心理状态及对心功能的影响。方法:选取我院2017年6月至2020年6月109例NSTE-ACS行PCI术后抑郁患者为研究对象,根据治疗方案不同分为对照组和观察组。对照组予瑞舒伐他汀口服及心理治疗,观察组在对照组基础上增加艾司西酞普兰口服治疗,对比两组心理状态、心功能、生活质量。结果:观察组治疗2月末HAMA、HAMD评分及CPP、sLOX-1、BNP、LVESD、LVEDD水平低于对照组,PH、PS、SR、EN评分及LVEF水平高于对照组(P<0.05)。结论:艾司西酞普兰辅助治疗NSTE-ACS行PCI术后抑郁患者,可调节心理状态,改善心功能,调控生活质量,提高临床疗效。
Abstract
[Abstract]Objective:To investigate the effect of escitalopram adjuvant therapy on the psychological state and cardiac function of patients with depression after percutaneous coronary intervention (PCI) of non-ST-segment elevation acute coronary syndrome (NSTE-ACS). Method: A total of 109 patients with depression after PCI for NSTE-ACS in our hospital from June 2017 to June 2020 were selected as the research objects, and were divided into control group and observation group according to different treatment regimens. The control group received oral rosuvastatin and psychotherapy, and the observation group received oral escitalopram on the basis of the control group. The psychological state, cardiac function and quality of life of the two groups were compared. Results: At the end of 2 months of treatment, HAMA, HAMD scores and the levels of CPP, SLUX-1, BNP, LVESD and LVEDD in the observation group were lower than those in the control group, while the levels of pH, PS, SR, EN and LVEF in the observation group were higher than those in the control group (P<0.05).Conclusion: The adjuvant treatment of escitalopram in patients with depression after PCI of NSTE-ACS can regulate the psychological state, improve the cardiac function, regulate the quality of life and improve the clinical efficacy.
关键词
【关键词】艾司西酞普兰; 非ST段抬高型急性冠状动脉综合征; 心功能
KeyWord
[Key words]Escitalopram; Non-ST-segment elevation acute coronary syndrome; Cardiac function
基金项目
页码 93-96
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杨艳*. 艾司西酞普兰辅助治疗对非ST段抬高型急性冠脉综合征PCI术后抑郁患者心理状态及对心功能的影响 [J]. 国际精神病学杂志. 2022; 49; (1). 93 - 96.

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