高血压治疗中的哲学思考——双心治疗,刚柔并济降服高血压

发布时间：2019-04-01 22:22

【摘要】：高血压病是心血管内科常见病,我国的高血压患者也已经超过3亿,可见高血压病的发病率之高。高血压病在单纯生物医学模式的时代,医生一般采用单纯降压药物治疗的方法,需要通过药物治疗、饮食控制、体重控制等各种手段,将血压控制在合理范围之内,但成功治疗高血压一直受限,随着医学由单纯的生物医学模式向生物心理社会医学模式的转变,出现了心身疾病这一概念,从心身医学的角度看高血压就是一种心身疾病,其发病、发展和预后与心理状况有着密不可分的关系,血压升高是抑郁焦虑情绪的躯体化表现。由于高血压与焦虑抑郁的密切关系,因此,控制高血压仅仅关注降压药物治疗是不够的,需要同时心理治疗,即双心治疗。心内科医师应该掌握具备"双心"理念,更应该掌握相应技能,以达到心脏与心理的和谐统一,多层面综合改善高血压患者的预后。
[Abstract]:Hypertension is a common disease in cardiovascular medicine, and there are more than 300 million hypertension patients in our country, so the incidence of hypertension is very high. In the era of simple biomedicine, doctors usually use simple antihypertensive drugs to control blood pressure within a reasonable range through various means such as drug therapy, diet control, weight control, and so on. However, the successful treatment of hypertension has always been limited. With the transformation of medicine from a simple biomedical model to a bio-psycho-social medical model, the concept of psychosomatic disease has emerged. From the point of view of psychosomatic medicine, hypertension is a psychosomatic disease. The onset, development and prognosis of the disease are closely related to the psychological status, and the increase of blood pressure is the somatization of depression and anxiety. Because of the close relationship between hypertension and anxiety and depression, it is not enough to control hypertension by paying attention to antihypertensive drug therapy, and it needs simultaneous psychotherapy, that is, double-heart therapy. Cardiologists should master the idea of "two hearts", and also master the corresponding skills, so as to achieve the harmony of heart and psychology, and improve the prognosis of patients with hypertension.
【作者单位】：河南省安阳地区医院;
【分类号】：R544.1

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