心理干预联合氟哌噻吨美利曲辛片对老年高血压伴焦虑抑郁患者降压效果的影响

Effect of patients with anxiety and depression in elderly patients with hypertension antihypertensive effect of psychological intervention combined with Flupentixol and Melitracen Tablets

目的研究分析心理干预联合氟哌噻吨美利曲辛片对老年高血压伴焦虑抑郁患者降压效果的影响。方法选取我院2014年1月~2016年12月收治的60例老年高血压伴焦虑抑郁患者为研究对象,随机分为对照组和实验组,各30例。对照组患者进行常规的降压治疗,实验组患者给予心理干预联合氟哌噻吨美利曲辛片治疗。比较分析实验组与对照组患者的相关临床指标。结果经过对应的治疗后,实验组患者的降压治疗有效例数28例,降压有效率93.3%。对照组患者降压治疗有效例数21例,降压有效率为70.0%。可得,实验组降压有效率显著高于对照组,差异具有统计学意义（P〈0.05）。治疗后,实验组患者的HAMD评分与HAMA评分显著低于未进行治疗前,实验组评分显著低于对照组,差异具有统计学意义（P〈0.05）。结论心理干预联合氟哌噻吨美利曲辛片治疗老年高血压伴焦虑抑郁患者降压效果较好,能在很大程度上改善患者的抑郁和焦虑情绪,安全性较高,具有临床进一步推广和应用的意义。

Objective To study the influence analysis of patients with anxiety and depression in elderly patients with hypertension antihypertensive effect of psychological intervention combined with Flupentixol and Melitracen Tablets. Methods 60 elderly patients with hypertension accompanied by anxiety and depression in our hospital from January 2014 to December 2016 were selected as the subjects. They were randomly divided into the control group and the experimental group,with 30 patients in each group. The control group was treated with conventional antihypertensive treatment,the experimental group were given psychological intervention combined with treatment of Flupentixol and Melitracen Tablets. The clinical indexes of the experimental group and the control group were compared and analyzed. Results After the corresponding treatment,the effective rate of antihypertensive treatment in the experimental group was 28 cases,and the effective rate of depressurization was 93. 3%. The effective rate of antihypertensive treatment in the control group was 21,and the effective rate of antihypertensive treatment was 70%. After treatment,the HAMD score and HAMA score of the experimental group were significantly lower than those before the treatment,and the score of the experimental group was significantly lower than that of the control group,with statistical difference（ P〈 0. 05）. Conclusion The treatment of elderly hypertensive patients with anxiety and depression in patients with better antihypertensive effect of psychological intervention combined with Flupentixol and Melitracen Tablets,can improve the depression and anxiety of patients in a large extent,high safety,is further applied in clinical significance.