| 抑郁对老年高血压患者心率变异性及生活质量的影响 |
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| 引用本文： | 周乐,王斌.抑郁对老年高血压患者心率变异性及生活质量的影响[J].心血管康复医学杂志,2013(5):475-477. |
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| 作者姓名： | 周乐 王斌 |
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| 作者单位： | 上海市闸北区市北医院心内科,上海市200443 |
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| 摘 要： | 目的：观察抑郁对老年高血压患者心率变异性及生活质量的影响。方法：150例老年高血压患者依据汉密尔顿抑郁量表测定结果进行分组，高血压合并抑郁者为高血压抑郁组（40例），高血压不合并抑郁者为单纯高血压组（110例），比较两组心率变异性及36项简易健康调查表（SF-36）评分的变化。结果：与单纯高血压组比较，高血压抑郁组在心率变异性方面：24h正常RR间期标准差ESDNN，（118．90±32．63）ms比（93．95±25．98）ms]、24h每5min正常RR间期平均值的标准差SDANN，（107．60±28．50）ms比（83．29±25．18）ms]、总频域值TP，（2283．62±965．31）ms^2比（1492．91±1004．69）ms^2]、极低频功率VLF，（1845．62±747．26）ms^2比（1132．41±680．34）ms^2]、低频功率ELF，（383．38±253．82）ms^2比（232．82±160．54）ms^2]明显降低（P〈0．05或P〈0．01）；在生活质量的生理机能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和心理健康8个维度评分亦显著降低（P〈0．05或d0．01）。结论：抑郁降低了老年高血压患者的心率变异性，严重影响老年高血压患者的生活质量，应加强患者的心理疏导和社会支持。
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| 关 键 词： | 高血压 抑郁 生活质量 |
Influence of depression on heart rate variability and quality of life in aged patients with hypertension |
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| ZHOU Le,WANG Bin.Influence of depression on heart rate variability and quality of life in aged patients with hypertension[J].Chinese Journal of Cardiovascular Rehabilitation Medicine,2013(5):475-477. |
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| Authors: | ZHOU Le WANG Bin |
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| Institution: | (Department of Cardiology, Shibei Hospital of Zhabei District, Shanghai, 200443, China) |
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| Abstract: | Objective： To study the influence of depression on heart rate variability （HRV） and quality of life in aged patients with hypertension. Methods： According to survey results of Hamilton depressive scale, a total of 150 aged patients with hypertension were divided into hypertension complicated depression group （n = 40） and pure hyperten-sion group （n=110）. HRV and changes of 36-Item Short Form Health Survey （SF-36） scores were compared be-ween two groups. Results： Compared with pure hypertension group, there were significant decrease in SDNN （118.90 ± 32.63） ms vs. （93.95 ± 25.98） ms], SDANN （107.60 ± 28. 50） ms vs. （83.29 ± 25.18） ms], TP total power, （2283.62±965.31） ms2 vs. （1492.91± 1004.69） ms^2], VLF E （1845.62±747.26） ms^2 vs. （1132.41± 680.34） ms^2 andLF （383.38±253.82） ms^2 vs. （232.82± 160. 54） ms^2 in HRV, P〈0.05 or P〈0.01; and there significant decrease in eight dimension scores of quality of life （SF-36）, including physical functioning, role-physical , bodily pain, general health, vitality, social functioning, role-emotional and mental health, P〈0.05 or 0.01, in hypertension complicated depression group. Conclusion： Depression decreases heart rate variability and se- riously affects their quality of life in aged patients with hypertension. Psychological regulation and social support should be enhanced in these patients. |
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| Keywords: | Hypertension Depression Quality of life |
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