心理干预对高血压患者应激反应血压及远期疗效的影响  

Effect of psychological intervention on blood pressure of stress reaction and long-term prognosis in patients with hypertension

作　　者：张颖[1] 杨春梅[2] 刘百川[3] 曹雷[1] 周磊[1] 贺延[4] 

机构地区：[1]武警吉林总队医院精神卫生科,长春130052 [2]武警吉林总队医院心内科,长春130052 [3]武警吉林总队医院长春医务处,130052 [4]武警北京总队医院内三科,100027

出　　处：《武警医学》2015年第4期370-372,375,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的观察心理干预对高血压患者应激反应动态血压及远期疗效的影响。方法将80例高血压患者随机分为心理干预组和对照组,每组40例,均接受降压药物治疗。心理干预组在应用降压药物的同时,进行专业心理干预;对照组接受降压药物治疗,不接受专业心理干预。观察两组患者的动态血压、行为性格、应激反应时的血压动态变化及远期疗效,并进行对比和统计学分析处理。结果应激反应状态下,研究组血压上升与下降速度和幅度均优于对照组(P<0.01);研究组患者症状自评量表(self-reporting inventoty,SCL-90)结果明显优于同组治疗前(P<0.01);研究组的远期疗效优于对照组。结论心理干预有利于高血压患者接受药物治疗后的血压恢复与改善,减少顽固性高血压的发生,降低脑血管意外、脑卒中的病死率,远期疗效理想。Objective To study the effect of psychological intervention on hypertension in patients with stress reaction, dy- namic blood pressure and long-term effect. Methods 80 hospitalized patients with hypertension were randomly divided into two groups： of psychological intervention group and control group ,40 patients in each group. The former group were treated with antihyper- tensive drugs, psychological intervention for patients in the use of antihypertensive drugs at the same time, professional psychological in- tervention. The control group received antihypertensive drugs as treatment, but did not receive professional psychological intervention. For the two groups, ambulatory blood pressure, personality, stress reaction of blood pressure change were observed, and comparison and statistical analysis were carried on. Results Blood pressure in drug treatment groups were significantly decreased, indicating effective treatment （P 〈 0.01 ） ; under stress reaction, in the study group, blood pressure increasing and decreasing speed and magnitude were greater than those in the control group; in study group, patients SCL-90 scale results significantly better than the pre-treatment group （P 〈 0.01 ）. Long-term prognosis in the study group was better than in the control group. Conclusion Psychological intervention to hypertensive patients receiving anti hypertensive drugs leads to improvement and recovery of blood pressure, reduces the occurrence of resistant hypertension, cerebral vascular accident, reduces stroke mortality, and improves clinical prognosis.

关 键 词：高血压 心理干预 应激反应 动态血压 远期疗效 

分 类 号：R749.055[医药卫生—神经病学与精神病学]