焦虑抑郁在原发性高血压中的作用及其研究进展

The Role of Anxiety and Depression in Essential Hypertension and Its Research Progress

摘要: 原发性高血压的发病机制与机体自身调节系统功能以及外界环境密切相关。现认为，除环境因素外，焦虑抑郁等精神压力也是诱发高血压的重要原因。精神压力是机体对外界环境的反映，当机体处于不同的环境中时，各系统会产生相应的应激反应，以应对突然的环境变化，其中心血管反应尤为突出。本文从高血压发生时应激反应参与高血压形成机制及其治疗进行综述，以期为伴有精神压力高血压的临床诊治提供新思路。

Abstract: The pathogenesis of essential hypertension is closely related to the body’s own regulatory system function and the external environment. It is now believed that in addition to environmental factors, mental stress such as anxiety and depression is also an important cause of hypertension. Mental stress is the body’s reflection of the external environment, and when the body is in different envi-ronments, each system will produce corresponding stress responses to cope with sudden environ-mental changes, especially cardiovascular responses. This article reviews the mechanism of stress response involved in hypertension formation when hypertension occurs, in order to provide new ideas for the clinical diagnosis and treatment of hypertension.