高血压患者述情障碍及其相关因素分析

Alexithymia and analysis of its relevant factors in primary hypertension patients

目的：观察高血压患者述情障碍及其相关因素,寻求靶干预的针对性。方法：应用多仑多述情障碍量表（TAS-26）、症状自评量表（SCL-90）,评定132例原发性高血压患者,进行相关性比较,并与健康人比较。结果：（1）高血压组TAX-26的F1（I因子）（3.07±0.54）,F2（3.15±0.65）,F3（3.12±0.67）F4（2.89±0.69）,均高于对照组,（t=3.44-11.64,P均〈0.01）;（2）按血压负荷区分的动态高血压组与动态血压升高组两组比较,TAX-26总分无显著差异（P〉0.05）,高血压组的F4有显著差异（3.10±0.82）,（P〈0.01）;（3）按危险程度比较,中、重度危险组F4（3.14±0.74）显著增加（P〈0.01）;（4）TAX-26与SCL-90相关比较,F1与人际关系敏感性（r=0.80）,敌对（r=0.78）,F2与抑郁（r=0.72）,F4与恐怖（r=0.70）,呈显著正相关（P〈0.01）。结论：原发性高血压患者有述情障碍,它与SCL-90在某些方面有相关性,应为靶干预所注重。

Objective： To investigate the alexithymia and its relevant factors in primary hypertension patients. Methods： Surveying 132 cases primary hypertension patients, used Toronto alexithymia scale （TAS-26） and the symptom check list 90 （SCL- 90）, and compared with healthy people. Results： （1） The factorⅠ （3.07±0. 54）, factorⅡ （3.05±0.65）, factor Ⅲ （3.12±0. 67）, factor Ⅳ （2.89±0.69）, of TAS -26 were higher than those of control group （t=3.44±11.64, P〈0.01 all）; （2） The total score of TAS-26 no increased （P〉0.05）, but lector Ⅳ increased （P〈0.01） ; in dynamic hypertension group than those of blood pressure dynamic increase group; （3） The factor Ⅳ TAS-26 increased in moderate/severe risk factor group （P〈 0. 01） compared with no/slight risk factor group; （4） Correlation between TAS-26 and SCL-90： The factor Ⅰ of TAS-26 was positively correlated with interpersonal sensityvity （r=80）, hostile （r=0.78） of SCL-90; factor Ⅱ positively correlated with depression of SCL -90 （r=0. 72）, factor Ⅳ positively correlated with terrible of SCL-90 （r=0. 70）, P〈0.01 all. Conclusion： There are alexithymia in primary hypertension patient, it positively correlated with interpersonal sensityvity, hostile, depression and terrible, must pay attention to intervention.