63例老年高血压病患者心理治疗临床观察

Clinical Observation on Psychological Treatment for 63 Elderly Patients with Hypertension

目的研究心理治疗对老年高血压病患者的疗效。方法采用随机法将63例患者分为治疗组和对照组,治疗组在常规药物治疗高血压的基础上,同时进行心理治疗,每周1次,每次15~30min,每4周为一疗程,共3个疗程,对照组仅给予常规药物治疗,观察两组治疗前后血压下降和临床症状改善情况。结果治疗3个疗程后,两组血压均有不同程度下降,但以治疗组明显,且临床症状改善也明显好于对照组。结论老年高血压病患者,在给予常规药物治疗的同时辅以心理治疗,可显著提高药物疗效和改善临床症状。

Objective To study curative effects of psychological therapy on elderly patients with hypertension.Method A total of 63 patients were randomly divided into the treatment group and the control group.The patients in the treatment group were treated with psychological treatment on the basis of routine treatment of hypertension,once a week for 15~30min,every 4 weeks for a course,a total of 3 courses;patients in the control group received only conventional drug therapy.The blood pressure were observed before and after treatment and the clinical improvement of symptoms was studied.Results After 3 courses,the blood pressure decreased in both groups,but in the treatment group,the decrease of blood pressure and the improvement of clinical symptoms were significantly better than those in the control group.Conclusions In elderly patients with hypertension,psychotherapy as a adjutant treatment of the drug treament can improve the drug efficacy and the clinical symptoms significantly.