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[高血压的心理非药物治疗及其疗效标准]

[Psychological nondrug treatment of hypertension and the criteria of its effectiveness].

作者信息

Khramelashvili V V, Aĭvazian T A, Salenko B B

出版信息

Kardiologiia. 1986 Jan;26(1):66-9.

PMID:3512898
Abstract

Eighty patients with essential hypertension, stages IIA-IIB, were examined three times: on admission to hospital, and 1 and 12 months later. All patients were subjected to clinical, psychological (brief multifactorial questionnaire for examination of a personality and the interpersonal relationships test) and psychophysiological investigation. The patients were allocated to 3 groups by random selection: 30 patients practicing autogenic training (group 1), 30 patients on relaxation therapy making use of biological feedback (BFB) (group 2), and 20 patients exposed to no psychological influences (group 3, or the controls). In the presence of psychological treatment, the BP decline, the increase in stress tolerance and the improvement of the psychological status were significantly more marked in the former two groups, as compared to the controls. Comparative assessment of the efficiency of autogenic training and BFB showed no basic differences between the two treatment methods. In cases where treatment proved inefficient, the patients exhibited a negative attitude to treatment and markedly demonstrative character.

摘要

80例IIA-IIB期原发性高血压患者接受了三次检查:入院时、入院1个月后和12个月后。所有患者均接受了临床、心理(用于检查人格和人际关系测试的简短多因素问卷)和心理生理调查。通过随机选择将患者分为3组:30例进行自生训练的患者(第1组),30例利用生物反馈(BFB)进行放松治疗的患者(第2组),以及20例未受心理影响的患者(第3组,即对照组)。在进行心理治疗的情况下,与对照组相比,前两组的血压下降、应激耐受性增加和心理状态改善更为明显。自生训练和BFB效率的比较评估显示,两种治疗方法之间没有基本差异。在治疗被证明无效的病例中,患者对治疗表现出消极态度且具有明显的炫耀性格。

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