摘要
目的探讨老年高血压伴发抑郁焦虑情绪患者的24h动态血压变化规律。方法选择老年高血压患者120例,进行抑郁自评量表和焦虑自评量表的心理问卷调查及汉密尔顿抑郁量表和汉密尔顿焦虑量表的评定,根据评分结果分为抑郁焦虑组75例和无抑郁焦虑组45例,对所有研究对象进行24h动态血压监测,并对结果进行比较分析。结果抑郁焦虑组24h收缩压、昼间收缩压、夜间收缩压明显高于无抑郁焦虑组[(136.0±14.6)mm Hg(1mm Hg=0.133kPa)vs(126.0±13.4)mm Hg,(139.0±15.2)mm Hg vs(130.0±13.6)mm Hg,(132.0±13.6)mm Hg vs(123.0±12.5)mm Hg,P<0.01]。抑郁焦虑组24h收缩压标准差、昼间收缩压标准差及24h收缩压加权标准差显著高于无抑郁焦虑组[(14.78±1.62)mm Hg vs(14.07±1.80)mm Hg,(13.25±2.94)mm Hg vs(12.28±3.05)mm Hg,(14.07±1.37)mm Hg vs(10.81±1.91)mm Hg,P<0.05,P<0.01]。结论有抑郁焦虑情绪的老年高血压患者血压变异性显著高于无抑郁焦虑高血压患者。
Objective To study the 24 h ambulatory blood pressure in elderly hypertension patients with depressive anxiety emotion.Methods Depression in 120 elderly hypertension patient was assessed according to the self-rating anxiety scale,self-rating depression scale,Hamilton anxiety rating scale,Hamilton depression rating scale,respectively.The patients were divided into depressive anxiety group （n=75） and non-depressive anxiety group （n=45）.Their 24 h ambulatory blood pressure was measured and analyzed.Results The 24 h systolic pressure,daytime systolic pressure and nighttime systolic pressure,24 h systolic pressure standard deviation （SD）,daytime systolic pressure SD and 24 h systolic pressure-weighted SD were significantly higher in depressive anxiety group than in non-depressive anxiety group （136.0 ± 14.6 mm Hg vs 126.0 ± 13.4 mm Hg,139.0±15.2 mm Hg vs 130.0±13.6 mm Hg,132.0±13.6 mm Hg vs 123.0±12.5 mm Hg,P＜0.01;14.78±1.62 mm Hg vs 14.07±1.80 mm Hg,13.25±2.94 mm Hg vs 12.28± 3.05 mm Hg,14.07±1.37 mm Hg vs 10.81 ±1.91 mm Hg,P＜0.05,P＜0.01）.Conclusion The blood pressure variability is significantly higher in elderly hypertension patients with depressive anxiety emotion than in those without depressive anxiety emotion.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2014年第7期723-725,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
焦虑
抑郁
高血压
血压监测
便携式
anxiety
depression
hypertension
blood pressure monitoring, ambulatory
