单纯收缩期高血压及双期高血压情绪障碍临床观察.docVIP

单纯收缩期高血压及双期高血压情绪障碍临床观察 　【摘要】 目的：比较单纯收缩期高血压与双期高血压情绪障碍的差异。方法：分别收集老年单纯收缩期高血压及双期高血压患者各100例，治疗前两组病人均用焦虑及抑郁量表评估情绪状态并进行组间比较，同时与正常人的常模比较。结果：两组高血压病人治疗前焦虑及抑郁均值高于常模，尤其是单纯收缩期高血压组与双期高血压相比焦虑指数有显著差异（Plt;0.001）。结论：单纯收缩期高血压患者中抑郁及焦虑患病率高,尤其是焦虑障碍明显高于双期高血压,提示临床医师应对其情绪障碍进行有效干预,以提高临床疗效。 【关键词】 单纯收缩期高血压；双期高血压；情绪障碍 【ABSTRACT】 Objective: To compare the difference of emotional disorder between Isolated systolic hypertension and Systolic and diastlic hypertension. Methods: 100 elderly patients with Isolated systolic hypertension and 100 elderly patiens with systolic and diastolic hypertension,were compared in norm scores with test chart of anxiety and depression before treatment. Results: the scores of patiens in both groups were higher than that of norm,especially the anxiety scores in patients with isolated systolic hypertension were higher than that with systolic and diastolic hypertension(phlt;0.001).Conclusion: The emotional disorder score of patients with hypertension is higher than that of normal persons in the measurement. Especidlly,anxiety scores in isolated systolic hypertension is more seriouse than that of patient with systolic and diastolic.In order to improve trentment effection,emotional disorder should be paid more attention in the treatment. 【KEY WORDS】 Isolated systolic hypertension;systolicand diastolic hypertension; emotional disorder 单纯收缩期高血压是老年高血压的常见亚型,此型高血压发病机制与普通的双期高血压有所不同,虽然两者均为心身疾病,但前者似乎与情绪关系更密切。国内对高血压综合治疗的报道较少,为了提高ISH（单纯收缩期高血压）的控制率,找出更有效的治疗方法,本文分别比较了单纯收缩期高血压与双期高血压情绪障碍的差异,以期为单纯收缩期高血压的治疗探索出更有效的方法,同时对心身疾病的临床意义有进一步的理解。 1 资料与方法 1.1 一般资料 共收集我院老年科门诊2004～2006年单纯收缩期高血压与双期高血压患者各100例,年龄59～82岁；其中男性110例,女性90例。入选病人均符合WHO1999高血压的诊断标准。 1.2 方法 收集的200例未治疗的单纯收缩期高血压与双期高血压患者,在治疗前每位患者填写焦虑自评量表(SAS)、抑郁自评量表(SDS)，统一指导语,两组高血压患者焦虑及抑郁指数（标准分≥50）与常模进行比较,同时比较两个高血压组的焦虑及抑郁指数。 1.3 统计学处理 用SAS8.0统计软件,统计方法采用t检验。 2 结果 本研究结果显示，单纯收缩期高血压病人的SAS及SDS的值分别为59.17±10.83、53.11±10.30；双期高血压组病人的SAS及SDS分别为53.98±11.43、52.12±6.52;两组病人的SAS及SDS均显著高于正常人群常模(Plt;0.01)(以SAS、 SDS标准分45为划界分,当标准分≥50时判断为轻度焦虑、抑郁);比较两组高血压患者的