中青年高血压患者精神心理压力与室性心律失常的关系

摘要

目的 分析中青年高血压患者精神心理压力与室性心律失常的关系.方法 连续入选2015年1月~2016年6月于首都医科大学附属北京友谊医院首次诊断为高血压的中青年患者共120例,男性80例,女性40例,年龄18~50岁.依据是否发生心律失常分为心律失常组(36例)和对照组(84例).入组后随访并定期完成躯体化症状自评量表、焦虑自评量表和抑郁自评量表.结果 与对照组比较,心律失常组患者躯体化症状自评量表、抑郁自评量表和焦虑自评量表评分均升高,[(33.8±8.9)分 vs. (51.2± 13.5)分],[(31.5±8.6)分 vs. (53.2±12.8)分],[(34.8±6.8)分 vs. (56.3±15.5)分],差异有统计学意义(P均<0.05).结论 早期评估中青年高血压患者精神心理压力对预防室性心律失常的发生有重要意义.%Objective To analyze the relationship between psychological pressure and ventricular arrhythmias (VA) in young and middle-aged hypertension patients. Methods The young and middle-aged hypertension patients diagnosed for the first time (n=120, male 80, female 40 and aged from 18 to 50) were chosen from Beijing Friendship Hospital affiliated to Capital University of Medical Sciences from Jan. 2015 to June 2016. All patients were divided into VA group (n=36) and control group (n=84). And then they were followed up and asked to complete self-rating somatization symptom scale (SSSS), self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) at regular intervals. Results Compared with control group, the scores of SSSS [(33.8±8.9) vs. (51.2±13.5)], SDS [(31.5±8.6) vs. (53.2±12.8)] and SAS [(34.8±6.8) vs. (56.3±15.5)] all increased in VA group (all P<0.05). Conclusion It is importantly significant for preventing VA to early review psychological pressure in young and middle-aged hypertension patients.