老年高血压伴焦虑情绪患者的综合治疗

目的:探讨老年高血压伴焦虑情绪患者的综合治疗效果。方法:2010年1月～2011年3月收治伴有焦虑情绪的老年高血压患者87例,采用氨氯地平联合抗焦虑剂及心理健康教育的综合治疗方法治疗,患者于治疗前后均进行焦虑自评量表(SAS)进行调查。结果:87例患者的血压及心率治疗前后比较,差异有显著性(P<0.05);治疗12周后,87例患者中显效57例,有效23例,无效7例,总有效率为92.0%;87例老年高血压伴焦虑情绪治疗前SAS评分为58.2±8.1,治疗后SAS评分为19.1±13.9,治疗前后比较差异有显著性(P<0.05)。结论:降压药物联合抗焦虑剂和心理健康教育治疗老年高血压疗效显著、安全性高,值得推广。

Objective：Anxiety in elderly patients with hypertension and comprehensive treatment. Methods：Our hospital from January 2010 - March 2011 associated with anxiety in 87 cases of elderly patients with hypertension, the use of amlodipine anti - anxiety agents and mental health education combined therapy treatment, the patient anxiety before and after treatment were carried out from Rating Scale （SAS） for investigation. Results：87 patients blood pressure and heart rate before and after treatment, there was significant difference （ P 〈 0. 05 ） ; After 12 weeks,87 patients,57 cases markedly effective,23 cases,7 cases, the total effective rate was 92. 0% ; 87 anxiety in elderly hypertensive patients before and after treatment with SAS change this group of patients before treatment SAS score of 58.2 ＋ 8. 1, SAS score after treatment was 19. 1 ± 13. 9 （ P 〈 0. 05 ）. Conclusion ： Anti - anxiety agents and antihypertensive drugs in combination treatment of mental health education hypertensive effect is significant, safe and worth promoting.