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高血压与焦虑抑郁共病机制的研究进展OA

Research progress on the comorbidity mechanism of hypertension and anxiety-depression

中文摘要英文摘要

我国存在庞大且正在增多的高血压人群,给社会带来了沉重的健康负担.随着流行病学的调查发现,高血压和焦虑抑郁常共同出现、相互影响.探索其共病机制有助于身心同治,减少高血压并发症、功能损害.在病理生理学机制上,两者可能的共病途径有肾素-血管紧张素-醛固酮系统、下丘脑-垂体-肾上腺轴、胰岛素抵抗、蓝斑-交感-肾上腺素髓质等.在中医理论中,高血压与焦虑抑郁共病现象本质上是脏腑功能失调、气血阴阳失衡的综合体现,两者通过肝、肾、脾、心等脏腑的阴阳气血失衡而紧密联系.在未来的研究中,通过深入探索两者的共病机制,有望理清两者的相互关系,通过干预其过程有助于疾病的预防及治疗.

There is a large and growing population of people with hypertension in China,which brings a heavy health burden to society.Epidemiological investigations have found that hypertension and anxiety and depression often coexist and influence each other.Exploring the comorbidity mechanism can help treat both the body and mind,and reduce the complications and functional damage of hypertension.In terms of pathophysiological mechanisms,the possible comorbidity pathways between the two include the renin-angiotensin-aldosterone system,the hypothalamic-pituitary-adrenal axis,insulin resistance,and the locus coeruleus-sympathetic-adrenal medulla system.In traditional Chinese medicine theory,the comorbidity of hypertension and anxiety and depression is essentially a comprehensive manifestation of the dysfunction of internal organs and the imbalance of qi,blood,yin and yang.The two are closely related through the imbalance of qi,blood,yin and yang in the liver,kidney,spleen,heart and other internal organs.In future research,by deeply exploring the comorbidity mechanism of the two,it is expected to clarify their mutual relationship,and intervening in the process can help prevent and treat the disease.

刘芸玖;罗晓婷

赣南医科大学第一临床医学院赣南医科大学,江西 赣州 341000

医药卫生

高血压焦虑抑郁共病机制

HypertensionAnxietyDepressionComorbidity mechanism

《赣南医科大学学报》 2026 (3)

235-241,7

10.3969/j.issn.2097-7174.2026.03.007

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