放松训练在顽固性原发性高血压伴抑郁的老年患者治疗中的应用

Relaxation training for elder patients with essential hypertension and depression

目的 探讨放松训练在顽固性原发性高血压伴发抑郁心理的老年患者治疗中的应用效果，为提高原发性高血压患者的康复治疗提供更多的依据。方法 对应用药物及心理疏导干预效果欠佳的16例顽固性原发性高血压伴发抑郁的老年患者进行放松训练。应用老年抑郁量表（GDS）测评训练效果，并对血压进行监测。结果 观察到16例患者经放松训练后平均收缩压和舒张压均有下降，经统计学处理，差异有统计学意义（P〈0．01）。GDS得分干预后下降明显，人组前与干预半年后比较f=5．77，人组前与干预1年后比较t=13．05，P〈0，01，差异有统计学意义。结论放松训练不仅对原发性高血压治疗具有良好的促进作用，还能有效改善老年患者伴发的抑郁症状。

Objective In order to know whether the relaxation training can promote the effects of elder patients with essential hypertension and depression, and then provide more basis for rehabilitative treatment on the patients with hypertension. Methods Relaxation training was used for 16 elder patietns with essential hypertension and depression who had poor effect were took relaxation training. The blood pressure monitoring and Geriatric Depression Scale （GDS） were used to evaluate the result of training. Results There were significant decreases in 24h mean systolic and diastolic blood pressure （P〈0.01）. The scores of GDS were significant decreased after intervention （t=5.77 and 13.05） P〈0.01. Conclusion Relaxation training can promote the treatment for elder patients with essential hypertension and effectively improve their depression.