合并道家认知疗法治疗早期高血压的随机对照研究

Randomly Control Study on Nonage Hypertension with the Combined Tao Cognition Therapy with Medication

目的:比较道家认治疗法合并药物治疗与单独药物治疗对早期高血压的疗效。方法:将164名高血压患者分别用道家认知心理疗法合并药物治疗(简称心理组)和单纯的药物治疗(药物组),治疗前接受一般情况调查表、艾森克人格问卷(EPQ)、A型行为问卷、症状自评问卷、检测血压等检查,且于治疗后的2周末、4周末、8周末(心理治疗组结束治疗)、12周末、24周末和48周(随访结束时)用上述方法进行6次评估。结果:心理治疗组患者治疗前后比较,治疗后患者A型行为问卷评分及艾森克人格问卷中N分(EPQ-N)降低、SCL-90的躯体化、焦虑因子分及总份均降低(P<0.05),与药物组比较有显著性差异(P<0.01);心理治疗组患者自第8周以后用药剂量显著性的减少,且这种情况一直持续到随访1年;药物组在治疗的第4和第8周时SCL-90的总分与治疗前有显著性差异(P<0.05)。结论:道家认治疗法合并药物治疗早期高血压,控制血压所需时间较短、药物的用量较少,作用时间较长;还能改善自觉症状和神经质的人格特征、减少A型行为。

Objective： To evaluate the curative effect of the combined Tao cognition therapy with medication for nonage hypertension. Methods： 164 outpatients with nonage hypertension were randomly divided into two groups. One group were accepted the combined Tao cognition therapy with medication; and another medication only, respectively, and were all assessed by Eysenck personality questionnaire （EPQ）, A type behavior questionnaire, Symptom Checklist-90 （SCL-90）, et al, and were all followed up for 1 year. Results. After treatment, the score of N in EPQ, the scores of somatization and anxiety factors, total score in SCL-90, and the total score of A type behaviorquestionnaire of the group with the combined therapy were all reduced with statistic significance. From 8 weeks to 1 year, the dosage of medication of the combined therapy was significantly fewer than that of therapy with medication only. Conclusion： For the combined therapy project, the time for controlling nonage hypertension is much shorter, the dosage of medication is much less. Moreover, it still can reduce some psychological symptoms, N score in EPQ and A type behaviors.