摘要
目的:探讨认知行为治疗对高血压共病抑郁障碍患者疗效及执行功能的影响。方法:对71例原发性高血压患者进行汉密尔顿抑郁量表(HAMD)评分,将其中HAMD≥18分的患者随机分为研究组(36例)和对照组(35例),入组时及治疗8周末均予以常规血压测定、用汉密尔顿抑郁量表(HAMD)、威斯康星卡片分类测验(WCST)评定抑郁状况及执行功能。两组患者均予以常规降压、帕罗西汀抗抑郁治疗,研究组患者在上述治疗的基础上,予以认知行为治疗。结果:治疗8周末两组患者的血压和HAMD评分均明显低于入组时,且研究组明显低于对照组,差异有统计学意义(P<0.05);治疗8周末两组患者WCST总测验数、持续错误数、随机错误数均显著低于入组时,且研究组显著低于对照组,差异有显著统计学意义(P<0.01);治疗8周末两组正确应答数、分类数均显著高于较入组时,且研究组显著优于对照组,差异有显著统计学意义(P<0.01)。结论:认知行为治疗能有效改善高血压共病抑郁障碍患者血压、情绪及执行功能。
Objective： To explore effects of cognitive behavioral therapy on clinical efficacy and executive function in patients with hypertension combined with depressive disorders. Methods： After being evaluated with Hamilton depression scale（ HAMD）,71 patients with essential hypertension,who got scores of higher than 18,were selected and randomly divided into study group（ 36 cases）and control group（ 35 cases）. They were given the conventional blood pressure test and assessed with HAMD and Wisconsin card sorting test（ WCST） at baseline and at the end of the 8th week of the treatment.All the patients received the routine treatment and Paroxetine; besides,the patients in the study group accepted the cognitive behavioral therapy. Results： At the end of the 8th week,the blood pressure and the total score in HAMD in the two groups decreased significantly compared with thebaseline（ P〈0.01）; moreover,those in the study group were lower than those in the control group,and the differences were statistically significant（ P〈0.05）. At the end of the 8th week,the total test numbers,persistent errors and random errors of WCST in the two groups decreased significantly compared with thebaseline（ P〈0.01）; further,those in the study group were lower than those in the control group,and the differences were statistically significant（ P〈0.01）. Additionally,at the end of the 8th week,the correct responses and category numbers of WCST in the two groups were significantlyhigher than the baseline（ P〈0.01）; further,those in the study group were lower than those in the control group,and the differences were statistically significant（ P〈0.01）. Conclusions： The cognitive behavioraltherapycan improve the blood pressure,emotions and executive function in the patients with hypertension combined with depressive disorders.
出处
《中国民康医学》
2017年第13期81-84,共4页
Medical Journal of Chinese People’s Health
关键词
认知行为治疗
高血压
抑郁障碍
Cognitive behavioral therapy
Hypertension
Depressive disorder
