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目的观察认知疗法对高血压患者在牙髓炎治疗中血压及负性情绪的影响。方法将因牙髓炎就诊的50例高血压患者随机分为实验组(认知疗法结合根管治疗)和对照组(常规根管治疗),每组25例。两组的临床疗效通过血压和抑郁自评量表(SDS)和焦虑评量表(SAS)进行评估。结果治疗前后血压值的比较,对照组差异有统计学意义(SBP:t=13.4;DBP:t=14.6;P<0.01);而实验组血压值改变差异无统计学意义(SBP:t=1.6;DBP:t=1.3;P>0.05)。两组治疗前后SAS、SDS组内比较,对照组治疗前后评分差异有统计学意义(t=6.98,5.77;P<0.01),而实验组差异无统计学意义(t=1.68,1.03;P>0.05)。结论认知疗法对高血压患者在牙髓炎治疗中具有稳定血压及改善负性情绪的作用。
Objective To observe the effect of cognitive therapy on blood pressure and negative emotions in patients with essential hypertension during the treatment of pulpitis. Methods Fifty patients with hypertension treated by pulpitis were randomly divided into experimental group (cognitive therapy combined with root canal therapy) and control group (conventional root canal therapy), 25 cases in each group. The clinical efficacy of both groups was assessed by the Self-rating Stress and Depression Scale (SDS) and the Anxiety Scale (SAS). Results The blood pressure before and after treatment was significantly different in the control group (SBP: t = 13.4; DBP: t = 14.6; P <0.01), while there was no significant difference in the blood pressure between the two groups ; DBP: t = 1.3; P> 0.05). SAS and SDS group before and after treatment in both groups, there was significant difference between before and after treatment in the control group (t = 6.98, 5.77; P <0.01), but there was no significant difference in the experimental group (t = 1.68, 1.03, P> 0.05). Conclusion Cognitive therapy has the effect of stabilizing blood pressure and improving negative emotions in the treatment of patients with essential hypertension.