摘要
随着老龄化社会的到来以及人们生活水平的提高,心脏病的患病率逐渐增高,尤其是冠心病。冠心病发病是多因素的,其中生物学因素和心理因素常同时并存。心理障碍常见有焦虑、抑郁两种表现。临床医师对焦虑、抑郁往往认识不清、诊断不足,常常会把一些表现为焦虑或抑郁的身体症状判断为躯体疾病,较难做出正确的诊断和治疗方案。目前冠心病合并心理障碍的"双心病"越来越受到医学界的重视。胡大一等心血管病专家提倡的双心医学模式既要加强心脏病的二级预防,又要注意干预精神心理障碍,在生理-社会-心理医学模式下,双心医学模式既是人性化也是理性化的治疗模式,不仅关注患者心脏,更关注患者心理,从而达到心身协调,体现了疾病诊治过程中以人为本。
With the arrival of the aging society and the improvement of people＇s living standard, the prevalence rate of heart disease increased gradually, especially coronary heart disease. Coronary heart disease is multifactorial and the biological factors and psychological factors often coexist at the same time. Anxiety and depression are two common manifestations of psychological obstacles. Clinicians tend to have an unclear understanding and inadequate diagnosis of anxiety and depression so they often diagnose some physical symptoms including anxiety and depression as somatic disease. Thus, it is difficult to make correct diagnosis and treatment protocols. Now, double heart disease consisting of coronary heart disease and psychological obstacles are drawing more and more attention from medical field. Cardiovascular expert involving Hu Dayi and so on advocate that double-heart medical model not only needs to strengthen the secondary prevention of heart disease, but also needs to pay attention to intervention of mental psychological obstacles. In physiological-social-psychological medical model, double-heart medical model is a humanizing and rational mode of treatment. It not only concerns the heart of patients but also pays more attention to patients＇ psychology to achieve heart-body coordination. It reflects human-oriented principle in the process of diagnosis and treatment of diseases.
出处
《中国医药科学》
2015年第19期26-29,33,共5页
China Medicine And Pharmacy
基金
内蒙古医疗卫生科技计划项目(201303170)
关键词
冠心病
心理障碍
焦虑
抑郁
Coronary heart disease
Psychological obstacles
Anxiety
Depression
