心理情绪因素与原发性高血压的研究进展

摘要

心理情绪障碍不仅是原发性高血压发生的危险因素,还影响降压药物疗效及高血压患者的预后.原发性高血压与精神心理障碍相互关系,目前仍是国内外心血管病研究的主要热点,精神心理障碍在原发性高血压发生、发展及防治中的作用与价值还需要进一步明确.心理情绪障碍焦虑抑郁人群高血压发生率增加,高血压并发焦虑抑郁血压变异幅度大,药物降压达标率低,并发心脑血管事件增多.对原发性高血压并发心理情绪障碍焦虑抑郁进行心理、运动干预及药物治疗,可以增加降压药物疗效、改善其患者预后.%Previous studies show that psychological and emotional disorders not only are risk factors for primary hypertension,but also affect the efficacy of anti-hypertensive drugs and prognosis of patients with hypertension.However,the relationship between primary hypertension and mental disorders is still the main focus of cardiovascular disease researches both at home and abroad.The incidence of primary hypertension is increased in the persons with anxiety and depression.The variation of blood pressure and cardio-cerebrovnscular events is increased and blood pressure control rate is low in the hypertensive patients with anxiety and depression.The therapeutic methods including psychological,exercise and drug intervention on anxiety and depression would increase the efficacy of anti-hypertensive drugs and improve the prognosis of the patients.