摘要
目的探讨老年高血压伴焦虑、抑郁患者给予心理干预和氟哌噻吨美利曲辛片治疗对降压效果的影响。方法老年高血压合并焦虑抑郁的患者76例,随机分为对照组和观察组,对照组(38例)采用常规降压治疗;观察组(38例)在给予与对照组相同降压药物治疗基础上,同时进行心理治疗,并加服氟哌噻吨美利曲辛片,每次1片,1次/d,疗程8周。治疗前后测坐位血压、汉密尔顿焦虑自评量表(HAMA)和抑郁自评量表(HAMD)评分。结果观察组降压总有效率为94.7%,对照组降压总有效率为65.8%;观察组治疗前HAMA和HAMD评分分别为(18.62±3.52)和(30.10±5.56),治疗后分别降至(10.60±2.53)和(12.98±3.85)。观察组的降压幅度、降压有效率、HAMA和HAMD评分减分率均优于治疗前及对照组,差异有统计学意义(P<0.01)。结论心理干预联合氟哌噻吨美利曲辛片可增强老年高血压合并焦虑抑郁患者的降压效果。
Objective To observe theeffect of psychotherapy and deanxiton elderly hypertensive patientswith depression and anxiety.Methods Seventy-six senile hypertensive patients with depression and anxiety were randomly divided into two groups for study. The control group（38 cases） weretreated with conventional antihypertensive medication, and observation group（38 cases） received conventional antihypertensive medication added psychotherapy and deanxit. The course was 8 weeks.Before and after treatmentblood pressure,Hamilton anxiety（HAMA） scale and Hamilton depression（HAMD） scalewere monitored and recorded.Results Total treatment efficiency using conventional antihypertensive medication,psychotherapy and deanxit is 94.7%,while usingconventional antihypertensive medication is 65.8%.In observation group,HAMA scale and HAMD scale were（18.62±3.52）and（30.10±5.56）before treatment and were（10.60±2.53）and（12.98±3.85）after treatment. Blood pressure of average reduction,effective rate of blood pressure reduction,HAMA scale and HAMD scalein the observation group all had much better effects than pretherapy and the control group, with obvious statistical significance（P0.01）. Conclusion Psychotherapy and deanxit may increase efficacy of antihypertensive therapy in elderly hypertensive patients withdepression and anxiety.
出处
《当代医学》
2012年第11期88-89,共2页
Contemporary Medicine
