【摘要】 目的探讨老年高血压患者抑郁焦虑情绪发生率及抑郁焦虑情绪对血压和血压变异性的影响。方法对68例老年高血压患者和32例健康体检者进行抑郁自评量表(SDS)和焦虑自评量表(SAS)的心理问卷调查以及汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)的评定,根据量表评分结果将高血压组再分成有抑郁焦虑情绪组和无抑郁焦虑情绪组,所有研究对象均进行24h动态血压监测,并对结果进行分析。结果 (1)高血压患者抑郁情绪发生率(30/68)和焦虑情绪发生率(32/68)明显高于对照组的抑郁(7/32)和焦虑(8/32)情绪发生率(P<0.05);(2)高血压组的血压变异性参数:24h收缩压标准差(24hSSD)、24h舒张压标准差(24hDSD)、白天收缩压标准差(dSSD)、白天舒张压标准差(dDSD)、夜间收缩压标准差(nSSD)、夜间舒张压标准差(nDSD)均大于对照组(P<0.01),且收缩压变异性大于舒张压变异性;有抑郁焦虑情绪高血压组的24hSSD和dSSD高于无抑郁焦虑情绪组(P<0.05)。结论高血压患者较对照组有更高的抑郁焦虑情绪发生率和更大的血压变异性;有抑郁焦虑情绪的高血压患者血压变异性明显高于无抑郁焦虑情绪的高血压患者。更多还原

【Abstract】 Objective To investigate the relationship between emotional disorder and blood pressure variability in the elderly patients with hypertension.Methods Sixty-eight patients with hypertension and 32 normal controls were assessed with the questionnaires of Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Hamilton Anxiety Rating Scale (HAMA),Hamilton Depression Rating Scale (HAMD) and 24 hour ambulatory blood pressure was monitored.Results (1)The rate of emotional disorder occurring in patients with hypertension was significantly higher than that of normal controls(P<0.05).(2)Every parameter of blood pressure variability [24 h systolic pressure standard deviation (24hSSD),24 h diastolic pressure standard deviation (24hDSD),daytime systolic pressure standard deviation (dSSD),daytime diastolic pressure standard deviation (dDSD),nighttime systolic pressure standard deviation (nSSD),nighttime diastolic pressure standard deviation (nDSD)]in patients with hypertension was significantly higher than that of normal controls (P<0.01).The parameter of blood pressure variability [24 h systolic pressure standard deviation (24hSSD),daytime systolic pressure standard deviation (dSSD)] in patients with emotional disorder was significantly higher than that of patients with no-emotional disorder (P<0.05).Conclusions The rate of emotional disorder occurring in patients with hypertension is higher than that of normal controls.The blood pressure variability of patients with emotional disorder is significantly higher than that of patients without emotional disorder.更多还原