心理干预联合盐酸氟西汀对老年高血压伴抑郁症患者血压的影响
王玉梅1，龙文2
（1. 新疆石河子绿洲医院老年病三科，新疆 石河子，832000；2.新疆石河子人民医院呼吸内分泌科，新疆 石河子，832000）
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摘要：
目的 研究心理干预联合盐酸氟西汀对老年高血压伴抑郁症患者血压的影响。方法 选取我院住院或门诊收治的老年高血压伴抑郁症的患者120例，随机分为对照组和观察组，各组60 例，对照组患者采用常规降压治疗；观察组患者在对照组基础上，给予心理干预治疗，同时服用盐酸氟西汀胶囊。观察比较两组患者的治疗效果，治疗前、后血压和HAMD评分及并 发症发生情况。结果 观察组患者的降压总有效率为91.67%，显著高于对照组的66.67%（P<0.05）。治疗后，观察组的收缩压、舒张压及HAMD评分均较治疗前下降，且均低于对照组治疗后（P<0.05）。两组的并发症发生率无明显差异（P>0.05）。结论 对高血压伴抑郁症的老年患者在常规降压治疗基础上给予心理干预和抗抑郁治疗，相比较单纯降压药物效果更好，能有效改善患者抑郁症状，且提高患者生活质量。
关键词：心理干预；盐酸氟西汀；高血压；抑郁症
中图分类号：R544.1；R749.2文献标志码：A文章编号：2096-1413(2017)13-0017-03
Effect of psychological intervention combined with fluoxetine on blood pressure in elderly hypertensive
patients with depression
WANG Yu-mei 1, LONG Wen 2
(1. Department of the Third Geriatrics, Shihezi Lvzhou Hospital; 2. Department of Breathing Endocrinology,
Shihezi People忆s Hospital, Shihezi 832000, China)
ABSTRACT: Objective To observe the effect of psychological intervention combined with fluoxetine on blood pressure in elderly hypertensive patients with depression. Methods One hundred and twenty cases of elderly hypertensive patients with depression in our hospital were selected and randomly divided into two groups, with 60 cases in each group. The control group was treated with conventional antihypertensive medication, and observation group received psychotherapy combined with fluoxetine on the basis of the control group, the course of the treatment was 8 weeks. The treatment effect, blood pressure and Hamilton depression (HAMD) scores before and after treatment and complications of the two groups were observed and compared. Results The treatment efficiency in the observation group was 91.67%, which was higher than 66.67% of the control group (P <0.05). After treatment, the blood pressure and HAMD scores in the observation group decreased, and the blood pressure and HAMD scores in the observation group were lower than those of the control group (P <0.05). There was no significant difference on complications in the two groups (P >0.05). Conclusion Psychological intervention combined with fluoxetine on blood pressure in elderly hypertensive patients with depression has a better effect than simple antihypertensive drugs, which can effectively improve the patients` symptoms of depression and the quality of life. KEYWORDS: psychotherapy; hypertension; depression; fluoxetin
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