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目的探讨负性心理导致老年人血压升高的干预措施。方法血压升高且有导致负性心理的生活事件发生的老年患者66例分为治疗组(A组,37例)和对照组(B组,29例)。A组予心理干预、改善睡眠和(或)抗焦虑药物治疗,B组不予干预。比较两组治疗前后血压的变化。结果复诊时A组血压初步达标率高于B组(70.3%vs.37.9%)(P<0.05)。复诊时两组收缩压均较初诊时下降(P<0.05),A组收缩压低于B组[(144.8±10.9)mm Hg vs.(151.5±10.8)mm Hg]且收缩压降幅大于B组[(15.4±11.6)mm Hg vs.(10.2±8.6)mm Hg](P<0.05);两组舒张压无统计学差异(P>0.05)。结论负性心理因素可致老年人血压升高,相应的心理干预等治疗有利于血压的控制。
Objective To explore the intervention of negative psychology leading to hypertension in the elderly. Methods Sixty-six elderly patients with high blood pressure and life-threatening negative psychology were divided into treatment group (A group, 37 cases) and control group (B group, 29 cases). Group A psychological intervention to improve sleep and (or) anti-anxiety drug treatment, B group without intervention. The changes of blood pressure before and after treatment were compared between the two groups. Results At the time of referral, the initial compliance rate of blood pressure in group A was higher than that in group B (70.3% vs.37.9%, P <0.05). Systolic blood pressure in both groups was significantly lower than that in group B at the time of referral (P <0.05), systolic blood pressure in group A was lower than that in group B [(144.8 ± 10.9) mm Hg vs (151.5 ± 10.8) mm Hg) (15.4 ± 11.6) mm Hg vs. (10.2 ± 8.6) mm Hg] (P <0.05). There was no significant difference in diastolic blood pressure between the two groups (P> 0.05). Conclusion Negative psychological factors can cause blood pressure in the elderly, the corresponding psychological intervention is conducive to the control of blood pressure.