中国全科医学2017，Vol.20Issue(8)：934-938,5.DOI:10.3969/j.issn.1007-9572.2017.08.009
常规降压药物联合渐进式肌肉放松训练改善社区高血压伴抑郁状态患者血压及抑郁的效果研究
Effect of Conventional Antihypertensive Drugs Combined with Progressive Muscle Relaxation Training on Improving Blood Pressure and Depression of Hypertensive Patients with Depressive State in Community
摘要
Abstract
Objective To study the effect of antihypertensive drugs combined with progressive muscle relaxation training on improving blood pressure and depression of hypertensive patients with depressive state in community.Methods One hundred and twelve hypertensive patients with mild to moderate depression,whose blood pressure control was not up to standard after management of Yingbo Community Health Service Center of Shanghai Pudong New Area in May 2015,were selected as the research objects.The patieuts were divided into intervention group and control group by random number table method,each had 56 cases.The two groups were treated with conventional antihypertensive drug treatment and standardized chronic disease management,and on this basis the intervention group took progressive muscle relaxation training.The patients in intervention group were weekly given group intensive intervention to relax the whole body muscles from the hand,forearm,upper arm,forehead,eye,jaw,neck,shoulder,chest,abdomen,waist,back,buttocks,thigh,cruses to foot orderly,30 minutes each time,and patients also did progressive muscle relaxation training twice a day at home,20 to 30 minutes each time.Blood pressure of the patients in two groups before and 1 week after intervention,and at the 1st,3rd and 6th month was measured respectively.At the same time,the depression status was assessed by Hamilton Depression Scale (HAMD).Results There was no significant difference in the effects on hypertension,control rate of blood pressure and improving status of depressive state at the 1st week after intervention between the two groups (P ＞0.05).The 1st,3rd and 6th month after intervention,effects on hypertension,control rate of blood pressure and improving status of depressive state in the intervention group were better than those in control group (P ＜ 0.05).Conclusion Conventional antihypertensive drugs combined with progressive muscle relaxation training can effectively reduce the blood pressure,improve control rate of blood pressure,and improve depressive state of hypertensive patients with depressive state in community.关键词
高血压/抑郁/肌肉放松训练/治疗效果Key words
Hypertension/Depression/Muscle relaxation training/Treatment outcome分类
医药卫生引用本文复制引用
熊翔凤,徐高洁,陈华,彭云..常规降压药物联合渐进式肌肉放松训练改善社区高血压伴抑郁状态患者血压及抑郁的效果研究[J].中国全科医学,2017,20(8):934-938,5.基金项目
上海市浦东新区科技发展基金(PKJ2013-Y51) （PKJ2013-Y51）
