黛力新改善心肌梗死合并情感障碍患者心功能及作用机制研究

Research on the improvement and the mechanism of deanxit on the cardiac function in myocardial infarction patients with emotion disorder,

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

陕西省西电集团医院 ;
西安交通大学第二附属医院 ;

摘要
【摘要】探讨黛力新辅助治疗心肌梗死(MI)合并情感障碍对患者心功能的影响及作用机制。方法 将92例MI后合并情感障碍患者随机分为观察组与对照组各46例。对照组给予MI常规治疗,观察组在对照组基础上加用黛力新治疗。比较两组治疗前及治疗2周后的心功能指标、汉密尔顿焦虑-抑郁量表(HAMA,HAMD)评分、血清ET-1、PAI-1、hs-CR、AngⅡ水平变化。结果 治疗后观察组的HAMA评分、HAMD评分、血清ET-1、PAI-1、hs-CR、AngⅡ水平显著低于治疗前及对照组,LVEF、CO、SV显著高于治疗前及对照组(P<0.05);随访6个月,观察组再发MI、恶性心律失常、心力衰竭发生率显著低于对照组(P<0.05)。结论 黛力新能够有效改善MI后情感障碍患者的焦虑抑郁症状及心功能,其可能机制与下调血清ET-1、PAI-1、hs-CR、AngⅡ水平有关。
Abstract
[Abstract] Objective To investigate improvement of deanxit on the cardiac function in myocardial infarction (MI) patients with emotion disorder,and to explore its mechanism.Methods 92 MI patients with emotion disorder were randomly divided into observation group and control group, 46 cases in each group. The control group was given conversational MI treatment, the observation group was given deanxit on the basis of control group.The cardiac function indexes (LVEF,CO,SV),HAMA and HAMD scores, serum levels of ET-1, PAI-1, hs-CR and Ang II were compared.Results After treatment, the HAMA score, HAMD score, serum levels of ET-1, PAI-1, hs-CR and Ang II in observation group were significantly lower than those before treatment andin the control group, while the LVEF, CO and SV were significantly higher (P<0.05);During the follow-up period of 6 months, the incidence of recurrent MI, malignant arrhythmia and heart failure in the observation group was significantly lower than that in the control group (P<0.05).Conclusion Deanxit can effectively relieve the emotion disorder of anxiety-depression and improve the cardiac function of MI patients with emotion disorder,its mechanism may related to the decrease of serum ET-1, PAI-1, hs-CR, Ang II level.
关键词
【关键词】 心肌梗死;情感障碍;黛力新;心功能;作用机制
KeyWord
[Key words] Myocardial infarction; Emotion disorder; Deanxit; Cardiac function; Mechanism
基金项目
页码 689-692
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朱俊*,张超锋,武卫党,王聪霞. 黛力新改善心肌梗死合并情感障碍患者心功能及作用机制研究 [J]. 国际精神病学杂志. 2017; 44; (4). 689 - 692.

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