摘要

【摘要】
目的 探讨体外反搏对冠心病患者睡眠质量及焦虑抑郁情绪的干预效果，为临床治疗提供依据。

方法 选取我院2023年1月至2025年5月200例冠心病患者，采用随机数字表法分为观察组、对照组，各100例。对照组采用常规药物治疗及基础护理方案，观察组在对照组基础上联合体外反搏治疗。比较两组干预前后匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index，PSQI）、焦虑症筛查量表（generalized anxiety disorder-7，GAD-7）、抑郁症筛查量表（patient health questionnaire-9，PHQ-9）、西雅图心绞痛量表（Seattle Angina Questionnaire，SAQ）、36项简明健康调查问卷（36-Item Short Form Health Survey Questionnaire，SF-36）评分。

结果 干预后两组患者PSQI评分下降，观察组低于对照组（P＜0.05）。干预后两组 GAD-7、PHQ-9 评分均降低，观察组低于对照组（P＜0.05）。干预后两组SAQ、SF-36评分均升高，观察组高于对照组（P＜0.05）。

结论 体外反搏联合常规治疗可显著改善冠心病患者的睡眠质量，缓解焦虑抑郁情绪，减少心绞痛发作，提升生活质量，值得临床推广应用。

关键词：【关键词】体外反搏；冠心病；睡眠质量；焦虑；抑郁

ABSTRACT

【Abstract】
Objective To investigate the interventional effect of enhanced external counterpulsation on sleep quality and anxiety/depression mood in patients with coronary heart disease, and to provide a basis for clinical treatment.

Methods A total of 200 CHD patients admitted to our hospital from January 2023 to May 2025 were selected and randomly divided into an observation group and a control group using a random number table method, with 100 patients in each group. The control group received conventional drug therapy and basic nursing care, while the observation group received EECP treatment in addition to the control group's regimen. The Pittsburgh Sleep Quality Index (PSQI), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Seattle Angina Questionnaire (SAQ), and 36-Item Short Form Health Survey Questionnaire (SF-36) scores were compared between the two groups before and after the intervention.

Results After the intervention, PSQI scores decreased in both groups, with the observation group scoring lower than the control group (P < 0.05). Post-intervention, both GAD-7 and PHQ-9 scores decreased in both groups, with the observation group scoring lower than the control group (P < 0.05). After the intervention, SAQ and SF-36 scores increased in both groups, with the observation group scoring higher than the control group (P < 0.05). 

Conclusion   Enhanced external counterpulsation combined with conventional therapy can significantly improve sleep quality, alleviate anxiety and depression, reduce angina attacks, and enhance the quality of life in patients with coronary heart disease. It is worthy of clinical promotion and application.

Key words: 【Key words】Enhanced External Counterpulsation; Coronary Heart Disease; Sleep Quality; Anxiety; Depression