焦虑抑郁情绪对高血压患者清晨血压的影响

Effect of anxiety and depression on early-morning blood pressure of patients with hypertension

目的探讨高血压患者焦虑抑郁情绪对清晨血压水平的影响。方法对2013年6月~2014年6月于宁德市医院初次确诊的原发性高血压患者182例进行焦虑自评量表（SAS）及抑郁自评量表（SDS）的评定,其中A组108例为高血压无焦虑、抑郁情绪患者,B组74例患者为高血压伴有焦虑、抑郁情绪,应用动态血压测量评估清晨血压。结果高血压患者焦虑抑郁情绪发生率为40.65%;与A组患者作比较,B组患者的SAS评分、SDS评分较高,B组患者的清晨收缩压及舒张压均高于A组,两组比较差异均有统计学意义（P〈0.05）。结论高血压患者焦虑抑郁情绪发生率高,焦虑抑郁情绪影响清晨血压水平,在高血压的防治中应及早发现治疗焦虑抑郁情绪。

Objective To explore the effect of anxiety and depression on the early-morning blood pressure of patients with hypertension. Methods A total of 182 patients firstly diagnosed with essential hypertension in our hospital from June 2013 to June 2014 were tested using the self-rating anxiety scale（SAS） and self-rating depression scale（SDS）.The patients were divided into group A without anxiety or depression（108 patients） and group B with anxiety and depression（74 patients）. The early-morning blood pressure levels were determined by dynamic blood pressure measurement. Results The incidence rate of anxiety and depression in patients with hypertension was 40.65%.Compared with group A, group B had significantly higher SAS and SDS scores（P0.05）. Group B had significantly higher systolic and diastolic blood pressure than group A in the early morning（P0.05）. Conclusion Patients with hypertension have a high incidence rate of anxiety and depression. The anxiety and depression can influence early-morning blood pressure. Early detection of anxiety and depression is beneficial for the prevention and treatment of hypertension.