药物联合综合性心理干预治疗高血压对照研究.DOCVIP

临床医学论文-药物联合综合性心理干预治疗高血压对照研究 ?????????????? 作者：梁婉仪 林伟春 洪建康 李功平???? 【摘要】? 　　目的 探讨药物联合综合性心理干预治疗高血压患者伴焦虑、抑郁情绪的临床疗效。 方法 将80例高血压伴焦虑、抑郁情绪患者随机分为两组各40例，两组均给予常规降压药物治疗，研究组联合综合性心理干预，观察1 a。于治疗前及治疗1 a末采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪，定期测血压，并进行对比分析。 结果 治疗1 a末，研究组焦虑自评量表、抑郁自评量表评分均较治疗前显著下降（P均＜0.01），较对照组下降显著（P均＜0.01）；研究组收缩压、舒张压均较治疗前显著下降（P均＜0.01），对照组有不同程度下降（P＞0.05）；研究组收缩压较对照组下降明显（P＜0.01），舒张压两组无显著性差异（P＞0.05）。 结论 药物联合综合性心理干预能有效改善高血压患者的焦虑、抑郁情绪，控制高血压指数。 【关键词】? 综合性心理干预；高血压；焦虑；抑郁 　　【Abstract】 Objective? To explore the clinical efficacy of drugs plus comprehensive psychointervention in the treatment of anxious and depressive emotions of patients with hypertensive disease. Methods?80 hypertensives accompanied with anxious and depressive emotions were randomly divided into reserch group(n=40) receiving routine hypotensive drug plus comprehensive psychointervention and control group(n=40) doing routine hypotensive drug monotherapy for 1 year observation. Before treatment and at the end of 1 year treatment, anxious and depressive emotions were assessed with the Selfrating Anxiety Scale(SAS) and Selfrating Depression Scale(SDS) respectively, BPs measured regularly, and contrasts and analyses undertaken. Results? At the end of? 1 year treatment, the SAS and SDS scores lowered very significantly compared with pretreatment(both P0.01) in the research group and did more significantly than in the control group(both P0.05); contractive and daistolic pressures lowered very significantly compared with pretreatment in the research group(both P0.01) .Conclusion? Comprehensive psychointervention can effectively improve anxiousdepressive emotions for patients with hypertensive disease and makes for controling hypertensive disease.? 　　【Keywords】 Comprehensive psychotherapy; hypertensive disease; anxiety; depression ??? 　　高血压病是一种常见的心身疾病，迄今对其病因研究有多种假说，其中情绪变化是影响血压的重要因素之一［1］。国内外目前对高血压的治疗一般只重视药物治疗。有研究认为，心理干预有利于高血压病患者血压的控制［2］。本研究在药物治疗高血压的基础上联合综合性心理干预，旨在探讨综合性心理干预对高血压的影响，现将结果报告如下。 　　1 对象与方法 　　1.1 对象? 选取2005年6月～2006年12月