江西中医药大学学报
江西中醫藥大學學報
강서중의약대학학보
Journal of Jiangxi University of Traditional Chinese Medicine
2015年
5期
33-37,46
,共6页
心理干预%高血压%系统评价%meta分析%随机对照试验
心理榦預%高血壓%繫統評價%meta分析%隨機對照試驗
심리간예%고혈압%계통평개%meta분석%수궤대조시험
Psychological Intervention%Hypertension%Systematic Evaluation%Meta Analysis%Randomized Controlled Trial
目的:系统评价心理干预联合常规降压措施治疗高血压病的疗效。方法:计算机检索中文数据库CNKI、WanFang Data、和VIP,收集近10年有关心理干预治疗高血压病的随机对照试验。检索时间为2003年1月1日起至2013年12月31日,按照纳入排除标准独立进行文献筛选、提取资料和进行质量评价后,采用RevMan 5.2软件进行 Meta 分析。结果:共纳入30个随机对照试验,其中研究组1571例,对照组1504例,合计3075例患者。 Meta分析结果显示:①在血压方面:心理干预后的收缩压和舒张压均较常规降压治疗下降更显著[MD=12.68,95%CI(9.89,15.47,P<0.00001][MD=8.39,95%CI(6.70,10.08),P<0.00001];②在显效率方面:心理干预后的显效率明显优于常规降压治疗[OR=2.70,95%CI(2.06,3.53),P<0.00001];③在情绪方面:心理干预后的焦虑( SAS)和抑郁( SDS)评分均较常规降压治疗下降更显著[ MD=4.65,95%CI (2.41,6.90),P<0.0001][MD=4.04,95%CI(1.82,6.26),P=0.0004],所有研究均显示差异有统计学意义。结论:与常规的降压治疗比较,心理干预联合常规降压措施对高血压病人的负性情绪具有良好的缓解作用,对血压的控制效果更好。
目的:繫統評價心理榦預聯閤常規降壓措施治療高血壓病的療效。方法:計算機檢索中文數據庫CNKI、WanFang Data、和VIP,收集近10年有關心理榦預治療高血壓病的隨機對照試驗。檢索時間為2003年1月1日起至2013年12月31日,按照納入排除標準獨立進行文獻篩選、提取資料和進行質量評價後,採用RevMan 5.2軟件進行 Meta 分析。結果:共納入30箇隨機對照試驗,其中研究組1571例,對照組1504例,閤計3075例患者。 Meta分析結果顯示:①在血壓方麵:心理榦預後的收縮壓和舒張壓均較常規降壓治療下降更顯著[MD=12.68,95%CI(9.89,15.47,P<0.00001][MD=8.39,95%CI(6.70,10.08),P<0.00001];②在顯效率方麵:心理榦預後的顯效率明顯優于常規降壓治療[OR=2.70,95%CI(2.06,3.53),P<0.00001];③在情緒方麵:心理榦預後的焦慮( SAS)和抑鬱( SDS)評分均較常規降壓治療下降更顯著[ MD=4.65,95%CI (2.41,6.90),P<0.0001][MD=4.04,95%CI(1.82,6.26),P=0.0004],所有研究均顯示差異有統計學意義。結論:與常規的降壓治療比較,心理榦預聯閤常規降壓措施對高血壓病人的負性情緒具有良好的緩解作用,對血壓的控製效果更好。
목적:계통평개심리간예연합상규강압조시치료고혈압병적료효。방법:계산궤검색중문수거고CNKI、WanFang Data、화VIP,수집근10년유관심리간예치료고혈압병적수궤대조시험。검색시간위2003년1월1일기지2013년12월31일,안조납입배제표준독립진행문헌사선、제취자료화진행질량평개후,채용RevMan 5.2연건진행 Meta 분석。결과:공납입30개수궤대조시험,기중연구조1571례,대조조1504례,합계3075례환자。 Meta분석결과현시:①재혈압방면:심리간예후적수축압화서장압균교상규강압치료하강경현저[MD=12.68,95%CI(9.89,15.47,P<0.00001][MD=8.39,95%CI(6.70,10.08),P<0.00001];②재현효솔방면:심리간예후적현효솔명현우우상규강압치료[OR=2.70,95%CI(2.06,3.53),P<0.00001];③재정서방면:심리간예후적초필( SAS)화억욱( SDS)평분균교상규강압치료하강경현저[ MD=4.65,95%CI (2.41,6.90),P<0.0001][MD=4.04,95%CI(1.82,6.26),P=0.0004],소유연구균현시차이유통계학의의。결론:여상규적강압치료비교,심리간예연합상규강압조시대고혈압병인적부성정서구유량호적완해작용,대혈압적공제효과경호。
Objective:To evaluate the effect of psychological intervention combined with conventional antihypertensive treatment in the treatment of hypertension.Methods:a random controlled trial of psychological intervention in the treatment of hypertension was collect-ed in the Chinese database, WanFang, Data CNKI, and VIP, which were collected from recent decade.The retrieval time from 2003 January 1 to December 31, 2013, according to the inclusion and exclusion criteria independent literature screening, data extraction and quality assessment by Revman 5.2 software was used for meta analysis.Results:a total of 30 randomized controlled trials, including 1 571 patients in the study group, 1504 patients in the control group, 3075 patients in total.Meta analysis results showed that:(1) on blood pressure:the systolic and diastolic blood pressure of psychological intervention were compared with conventional antihypertensive therapy, which decreased more significant [MD=12.68,95%CI (9.89,15.47), P<0.00001][MD=8.39,95%CI 6.70,10.08, P<0.00001];(2) in significant efficiency:markedly effective rate of psychological intervention prognosis was better than that of con-ventional antihypertensive treatment [OR=2.70,95%CI 2.06,3.53, P<0.00001];(3) in terms of emotions:after the intervention of psychological anxiety ( SAS) and depression ( SDS) score were compared with conventional antihypertensive treatment, which de-creased more significant [MD=4.65,95%CI (2.41,6.90), P<0.0001][MD=4.04,95%CI 1.82,6.26, P=0.000 4].All study showed there was a statistically significant difference.Conclusion:compared with conventional antihypertensive therapy, psycho-logical intervention combined with conventional antihypertensive measures has a good effect on the negative mood of patients with hyper-tension, and the control effect is better.