中医药治疗原发性高血压伴焦虑的研究进展

Research progress of treating hypertension with anxiety by Chinese medicine

原发性高血压是成人(≥18岁)在安静状态下,动脉收缩压≥140 mm Hg(1 mm Hg=0.133 k Pa)和/或舒张压≥90 mm Hg,并伴有不同程度器官功能性或器质性改变的全身性疾病,也是一种常见的心身疾病,又称高血压病。焦虑则指没有明确客观原因出现的紧张与不安甚至恐惧。大部分高血压病患者由于长期服用降压药物容易出现焦虑等症状,导致血压控制不稳定,治疗效果不理想,预后较差。单纯使用降压药物进行治疗无法达到理想的治疗效果。近些年的研究显示联合使用中医药方法对高血压伴有焦虑的患者进行治疗则有更好的疗效。通过从病因病机、证候分型、中药治疗、针灸治疗几个方面对近几年的研究进展进行综述。

Primary hypertension is a systemic disease that an adult’s systolic pressure≥140 mm Hg（1 mm Hg=0.133 k Pa） and/or diastolic pressure≥90 mm Hg in a quiet state, with varying degrees of functional or organic changes. It is also a common psychosomatic disease,known as hypertension. Anxiety refers to nervous, restless, even fear without clearly objective reasons. The majority of patients with hypertension also have symptoms of anxiety owning to long-term antihypertensive drugs. It may cause amphibolic blood pressure, low effect of treatment, and poor prognosis. Only use antihypertensive drugs can not achieving the expected effect. Recent studies show that combined using of traditional Chinese medicine has better effect. This review discusses the studies and developments about etiology and pathogenesis, syndromes, treatment of herbs and acupuncture in recent years.