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目的研究心理干预治疗对老年高血压伴糖尿病疾病患者的精神症状和药物降压疗效的影响。方法 250例高血压伴糖尿病患者按入院顺序分对照组(采用药物氯沙坦治疗)和研究组(采用药物氯沙坦治疗+心理干预),各125例。将两组治疗后精神症状和血压进行对比。结果治疗前两组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分比较差异无统计学意义(P>0.05),治疗后研究组SDS、SAS评分[(42.1±5.2)分、(40.2±12.9)分]低于对照组[(49.8±12.2)分、(46.3±7.8)分],差异有统计学意义(P<0.05);治疗后研究组最小舒张压、最小收缩压、最大舒张压、最大收缩压明显低于对照组,差异有统计学意义(P<0.05)。结论老年高血压伴糖尿病疾病者,在药物治疗过程中,可适当接受心理干预,其降压效果更为显著,同时患者心理、精神状况也得到改善,应用价值较大。
Objective To study the effect of psychological intervention on psychiatric symptoms and drug antihypertensive efficacy in elderly hypertensive patients with diabetes mellitus. Methods A total of 125 hypertensive patients with diabetes were divided into control group (treated with losartan) and study group (treated with losartan plus psychological intervention) according to the order of hospital admission. The two groups of psychiatric symptoms and blood pressure were compared. Results There was no significant difference in SDS and SAS scores between the two groups before treatment (P> 0.05). After treatment, SDS and SAS scores of the study group [(42.1 ± 5.2) (40.2 ± 12.9) points lower than the control group (49.8 ± 12.2 points, 46.3 ± 7.8 points), the difference was statistically significant (P <0.05); after treatment, the study group minimum diastolic blood pressure, minimum contraction Pressure, maximum diastolic blood pressure, maximum systolic blood pressure were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusions Elderly people with hypertension and diabetes may receive appropriate psychological intervention during the course of drug treatment. The antihypertensive effect is more obvious. At the same time, their psychology and mental status are also improved, and their application value is great.