情绪干预对高血压治疗效果的影响

目的:探讨高血压患者的情绪与降压效果的关系。方法:以原发性高血压患者为研究对象。有情绪障碍的93 例患者被分为两组,其中46例给予综合性的心理治疗(B组),47例单纯给予药物治疗(C组),无情绪障碍的43例患者也单纯给予药物治疗(A组)。比较三组的降压效果。心理学量表采用SCL-90。结果:68%的高血压患者存在情绪障碍,主要以焦虑为主,有的患者焦虑、抑郁并存。治疗后,A、B组降压效果明显好于C组(P<0.01)。结论: 无情绪障碍的患者降压效果较好,对有情绪障碍的患者可施加综合性的心理治疗。

Influence of psychotherapy on the therapeutic efficacy of hypertension

Objective: To discuss the relation between psychotherapy and effect of depressurization in patients with essential hypertension (EH). Methods: A total of 93 EH patients with emotion disorder were divided into two groups: Comprehensive psychotherapy was performed in 46 EH patients (group B) , simple drug treatment but no psychotherapy was performed in 47 EH patients (group C). Simple drug treatment was performed in another 43 EH patients without emotion disorder (group A). Compared the therapeutic efficacy of three groups. Psychology measuring scale was SCL-90. Results: EH patients with emotion disorder occupy 68% of total (93/136), main emotion disorders were anxious, some cases had both anxious and depression. Therapeutic efficacies of group A and B were better than group C obviously (P<0. 01). Conclusion:Effect of depressurization is better in EH patients without emotion disorder. Comprehensive psychotherapy must be given in EH patients with emotion disorder.