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目的:观察老年原发性高血压患者精神心理症状,探讨其对高血压的影响,寻求可进行靶干预的针对性。方法:应用症状自评量表(SCL-90)对106例老年原发性高血压患者(≥60岁)进行评定,并与相同年龄和性别的健康老人1:1配对比较。结果:老年高血压组在躯体化(1.64±0.50)、强迫(1.79±0.59)、人际关系(1.80±0.61)、忧郁(1.48±0.44)、焦虑(1.30±0.46)、因子评分均高于对照组差异均有显著性意义(t=2.082～2.316,P均<0.05)。按高血压水平分级后和按有无合并危险因素后及按危险性量化分级比较,依次先后比较,亦同上述结果(t=2.09～2.253,P均<0.05;t=2.013～2.236,P均<0.05;t=2.062～2.281,P均<0.05)。结论:老年原发性高血压患者精神心理症状是明显的。其发生前位频率依次为强迫、敌对、人际关系、躯体化、抑郁和焦虑。可为靶干预所注重。
OBJECTIVE: To observe the mental and psychiatric symptoms of elderly patients with essential hypertension and to explore its impact on hypertension, and to seek for targeted interventions. Methods: A total of 106 elderly patients with essential hypertension (≥60 years) were assessed using the Symptom Checklist 90 (SCL-90) and compared with 1: 1 healthy adults of the same age and sex. Results: The scores of somatization (1.64 ± 0.50), coercion (1.79 ± 0.59), interpersonal relationship (1.80 ± 0.61), depression (1.48 ± 0.44) and anxiety (1.30 ± 0.46) in elderly hypertensive group were higher than those in control Group differences were significant (t = 2.082 ~ 2.316, P <0.05). According to the level of hypertension and after the presence or absence of risk factors according to the risk of quantitative classification comparison, followed by comparison, also with the above results (t = 2.09 ~ 2.253, P <0.05; t = 2.013 ~ 2.236, P <0.05; t = 2.062 ~ 2.281, P <0.05). Conclusion: The psychiatric symptoms of elderly patients with essential hypertension are obvious. The occurrence of pre-position frequency followed by forced, hostile, interpersonal, somatization, depression and anxiety. Can focus on target intervention.