摘要
中国正逐渐进入老龄化社会,老年人的心理问题对健康的影响引起越来越多的社会重视。在老年群体中,血压的波动易导致心源性猝死、心肌梗死等疾病,而焦虑、抑郁等负面情绪是导致患者血压波动的独立危险因素。老年人体位性血压变化与焦虑抑郁共存,使得老年人的病情更复杂,预后更差。但目前关于二者之间相关性及其主要机制尚未完全明确,相关的研究也较少,进一步研究并阐明潜在的可改变因素在这种复杂疾病发展中的作用是必要的。本文综述了老年体位性血压变化与焦虑抑郁事件的相关性及其可能机制,为老年人体位性血压变化以及焦虑抑郁的相关诊断和治疗提供研究方向。
As China is entering the aging society,the impact of psychological problems of the elderly on health has attracted increasing social attention.In the elderly population,fluctuations of blood pressure can lead to diseases such as sudden cardiac death and myocardial infarction,and negative emotions such as anxiety and depression are independent risk factors of blood pressure fluctuations in patients.Orthostatic blood pressure changes coexisting with anxiety-depression result in more complicated condition and worse prognosis in the elderly.However,the correlation between the two and their main mechanisms are not yet fully understood with a dearth of relevant studies,warranting further research and elucidation of the role that potential modifiable factors play in the development of such a complex condition.This article reviews the correlation and possible mechanisms between orthostatic blood pressure changes and anxiety-depressive events in the elderly,providing research directions for the diagnosis and treatment of orthostatic blood pressure changes and anxiety-depression in the elderly.
作者
陶新宇
訾多
牛月
莫涵琳
刘歆怡
陈焱杰
曲晨
Tao Xinyu;Zi Duo;Niu Yue;Mo Hanlin;Liu Xinyi;Chen Yanjie;Qu Chen(Department of Geriatrics,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China)
出处
《中华老年多器官疾病杂志》
2023年第3期236-240,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
基金
江苏省大学生创新创业训练计划(201910312070Y)。
关键词
体位性血压变化
焦虑
抑郁
orthostatic blood pressure changes
anxiety
depression
