浅析焦虑抑郁情绪对高血压患者血压变异性的影响

The Effect of AD on Blood Pressure Variability in Hypertensive Patients

目的探讨焦虑抑郁情绪对高血压患者血压变异性的影响。方法选择2015年1月—2016年6月在我院治疗的高血压患者100例作为研究对象。其中,50例合并有焦虑抑郁情绪为研究组,50例未合并焦虑抑郁情绪为对照组。对两组患者均进行动态血压监测以及动态心率监测。比较两组24 h平均收缩压、舒张压变异性相关指标。结果研究组24 h平均收缩压与舒张压均高于对照组,差异有统计学意义(P<0.05)。研究组24 h SSD、24 h DSD、d SSD、d DSD均高于对照组,SISBP、SIDBP均低于对照组,差异有统计学意义(P<0.05)。结论高血压患者合并焦虑抑郁情绪影响血压水平及血压变异性。

Objective To discuss effects of AD on blood pressure variability in hypertensive patients. Methods 100 cases with hypertensive patients from January 2015 to June 2016 were selected as objects. 50 cases with AD were study group, and 50 cases without AD were control group. Ambulatory blood pressure monitoring and ambulatory heart rate monitoring were done on two groups. 24 h mean SBP and DBP in two groups were compared. Results 24 h mean SBP and DBP of study group were higher than control group, the difference was statistically significant （P 〈 0.05）. 24 h SSD, 24h DSD,dSSD,dDSD of study group were higher than those of control group, and SISBP, SIDBP were lower than those of control group, the difference was statistically significant （P 〈 0.05）. Conclusion Hypertensive patients with anxiety and depression affect blood pressure and blood pressure variability