老年高血压伴发抑郁的状况及特点

目的：探讨老年高血压患者的抑郁发生率，及伴发抑郁的特点。方法：采用汉密顿抑郁量表（HAMD）。对63例老年高血压（高血压组）和51例非高血压（对照组）住院患者进行检测．对两组的合并抑郁情况进行比较。结果：高血压组抑郁发生率为42．9％，对照组仅为15．7％；中～重度抑郁：高血压组占17．4％，对照组占3．9％。高血压并发抑郁的心理学特征是：躯体化、睡眠障碍、绝望感和认知障碍。结论：老年高血压患者抑郁并发率高，影响患者的生活质量和信心，对治疗和转归有影响。

Condition and therapeutic effect of aged patients with hypertension complicated depression

Objective： To study the morbidity and characteristic of depression in patients with hypertension. Methods： The 63 aged patients with hypertension （hypertension group） and 51 aged patients without hypertension （control group） were detected by Hamilton rating scale for depression （HAMD） and compared between two groups. Results： The morbidity of depression occupied 42.9% in hypertension group and 15.7% in control group. The morbidity of moderate-heavy depression occupied 17.4% in hypertension group and 3.9 % in control group. The somatisation, somniparhy, feeling of despair and cognitive handicap were characteristic of depression in aged patients with hypertension. Conclusion： The morbidity of depression is high in aged patients with hypertension, it influence quality of life, confi- dence and prognoses of patient.