摘要

【摘要】
目的 分析虚拟现实暴露治疗（Virtual Reality Exposure Therapy，VRET）对冠心病合并高血压患者经皮冠状动脉介入治疗（Percutaneous Coronary Intervention，PCI）术后创伤后应激障碍（ Post-Traumatic Stress Disorder，PTSD）的干预效果。

方法 选取我院2020年1月到2024年11月收治的冠心病合并高血压患者，于PCI术后3个月在门诊复查，使用中文版创伤后应激障碍诊断量表（Clinician-Administered PTSD Scale ，CAPS）对患者是否存在PTSD症状进行测定，选取CAPS≥33分的100例患者纳入研究。按抽签法分为观察组、对照组，各50例。对照组接受常规心理干预，观察组接受VRET。比较两组患者干预10周后负面情绪、CAPS评分及生活质量差异。

结果 干预后两组汉密尔顿焦虑量表（Hamilton Anxiety Rating Scale， HAMA）、汉密尔顿抑郁量表（Hamilton Depression Rating Scale ，HAMD）评分降低，观察组低于对照组（P＜0.05）；干预后两组警觉性增加、反复体验、回避症状及CAPS总分评分下降，观察组低于对照组（P＜0.05）；干预后两组健康状况调查简表（the MOS item short from health survey，SF-36）评分中生理、情绪、社会、躯体评分显著升高，观察组高于对照组（P＜0.05）。

结论 VRET能够减轻冠心病合并高血压行PCI术后出现PTSD的患者焦虑、抑郁情绪，提高患者生活质量。

关键词：【关键词】虚拟现实暴露；冠心病；高血压；经皮冠状动脉介入治疗；创伤后应激障碍

ABSTRACT

【Abstract】
Objective To analyze the interventional effect of Virtual Reality Exposure Therapy (VRET) on Post-Traumatic Stress Disorder (PTSD) in patients with Coronary Heart Disease (CHD) and hypertension after Percutaneous Coronary Intervention (PCI).

Methods Patients with coronary heart disease complicated with hypertension admitted to our hospital from January 2020 to November 2024 were reexamined in the outpatient clinic 3 months after PCI. The Chinese version of the Clinical-Administered PTSD Scale (CAPS) was used to determine whether there were PTSD symptoms in patients, and 100 patients with CAPS≥33 were selected for the study.Divided into observation group and control group by drawing lots, with 50 cases in each group. The control group received routine psychological intervention, and the observation group received VRET. Negative emotions, CAPS score and quality of life were compared between the two groups after 10-week intervention.

Results Post-intervention, HAMA and HAMD scores decreased in both groups, but the observation group had significantly lower scores compared to the control group(P<0.05). Post-intervention, scores for hyperarousal, re-experiencing, avoidance symptoms, and total CAPS scores decreased in both groups, but the observation group had significantly lower scores compared to the control group (P<0.05). Post-intervention, scores in the Medical Outcomes Study Short-Form Health Survey (SF-36)—including physical, emotional, social, and bodily domains—significantly increased in both groups, the observation group outperformed the control group (P<0.05).

Conclusion   VRET can effectively alleviate anxiety and depression, while improving quality of life in CHD patients with hypertension exhibiting PTSD symptoms after PCI.

Key words: 【Key words】Virtual Reality Exposure Therapy;Coronary Heart Disease; Hypertension; Percutaneous Coronary Intervention; Post-Traumatic Stress Disorder