急诊和门诊就诊原发性高血压患者临床特征的观察比较

Observation and comparison of clinical features of patients with primary hypertension treated respectively in emergency and outpatient department.

目的:观察急诊和门诊就诊原发性高血压患者临床的特征。方法:将急诊科就诊的原发性高血压患者87例作为实验组,同期门诊就诊的高血压患者61例为对照组,均行临床精神卫生症状自评量表(SCL-90)和生活事件量表测试。结果:急诊患者遭遇生活事件频度、正性事件频度、负性事件频度、遭遇事件紧张总值、正性事件紧张值、负性事件紧张值均明显高于门诊组患者(P<0.05,P<0.01)。急诊组的SCL-90总分、总均分、阳性项目数和阳性症状均分都明显高于门诊组。急诊组的躯体化、强迫、人际关系、抑郁、焦虑、恐怖、偏执和精神病性等症状因子评分均明显高于门诊组患者(P<0.05,P<0.01)。结论:急诊科就诊的原发性高血压患者发病前遭遇生活事件频度高、强度大,并有较明显的精神异常,进行治疗时心理干预不容忽视。

Objective： To observe the clinical manifestation between the patients with primary hypertension treated in emergency and outpatient department respectively and sum up the regularity. Methods： 87 patients with primary hypertension treated in emergency department were taken as experiment group, and 61 patients with hypertension treated in the outpatient department were taken as control group, all the patients were given test by symptom checklist （ SCL - 90 ） and scale for clinical mental health and life event. Results： The frequency of life events, frequency of positive events, frequency of negative events, the total value of tension, the value of tension of positive events and the value of tension of negative events were higher in the experiment group than that in the control group （P 〈 0. 05, P 〈 0. 01 ）. The total score of SCL -90, total average score, the number of positive items and the mean positive symptom score were higher in the experiment group than that in the control group. The scores of symptom such as smoatization, interpersonal relationship, depression, etc were higher in the experiment group than that in the control group （P 〈 0. 05, P 〈 0. 01 ）. Conclusion： Psychological intervention should not he ignored when the patients are treated in the emergency department because of such characteristics of patients.