Hegel M T, Abel G G, Etscheidt M, Cohen-Cole S, Wilmer C I
Georgia State University.
J Behav Ther Exp Psychiatry. 1989 Mar;20(1):31-9. doi: 10.1016/0005-7916(89)90005-0.
The hyperventilation syndrome is present in as many as 50% of patients with non-cardiac chest pain. This study evaluated a behavioral treatment of this disorder in three adult females. They had long histories of chest pain and were documented to be free of coronary artery disease. Each subject met the DSM-III-R diagnostic criteria for an anxiety disorder. Following treatment, all subjects showed a marked decrease in the frequency and intensity of chest pain episodes and in the frequency of shortness of breath episodes. Two subjects maintained their progress at one-year follow-up. The results lend support to the efficacy of controlled breathing and relaxation training for the treatment of hyperventilation-related chest pain and to the inclusion of a hyperventilation provocation test in the diagnosis of the syndrome as well as its role in changing cognitions regarding cardiac status. Also discussed is the rationale for treating hyperventilation related chest pain in a medical care setting.
通气过度综合征在多达50%的非心源性胸痛患者中存在。本研究评估了对三名成年女性该疾病的行为治疗。她们有长期胸痛病史，且记录显示无冠状动脉疾病。每个受试者均符合精神疾病诊断与统计手册第三版修订版（DSM-III-R）中焦虑症的诊断标准。治疗后，所有受试者胸痛发作的频率和强度以及呼吸急促发作的频率均显著降低。两名受试者在一年的随访中维持了进展。这些结果支持了控制呼吸和放松训练对治疗通气过度相关胸痛的有效性，以及通气过度激发试验在该综合征诊断中的作用及其在改变对心脏状况认知方面的作用。还讨论了在医疗环境中治疗通气过度相关胸痛的基本原理。
