冠心病合并焦虑抑郁中西医机制及治疗新进展

New Advances in Treatment and Mechanism of Traditional Chinese Combine with Western Medicine of Coronary Heart Disease Complicated with Anxiety and Depression

冠状动脉粥样硬化性心脏病亦称冠心病,指冠状动脉硬化使血管阻塞,从而导致心肌细胞缺血缺氧坏死的心脏病。近年来,随着社会生活水平的提高,冠心病的发病率也随之增加,其并发症繁多,冠心病合并焦虑抑郁作为典型“双心”疾病,严重影响病患的预后及后续生活质量。对于该病的发病机制及诊疗方案,中西医各有分说,西医研究多以自主神经功能紊乱、内分泌学说、炎症因子等为主,而中医立足经典医学,从整体出发,辨证论治,常获良效。该文检索国内外大量相关文献,系统阐述了近年来冠心病合并焦虑抑郁中西医病因病机及最新诊疗方案,为冠心病合并焦虑抑郁在中西医病因病机、特色治疗等方面作一阐述,为广大临床医师提供参考。

Coronary atherosclerotic heart disease,also known as coronary heart disease,refers to a heart disease in which coronary arteriosclerosis blocks blood vessels,leading to ischemia,hypoxia and necrosis of myocardial cells.In recent years,with the improvement of social living standards,the incidence of coronary heart disease has also increased,and its complications are numerous.Coronary heart disease combined with anxiety and depression,as a typical“double heart”disease which seriously affects the patients’prognosis and subsequent quality of life.Regarding the pathogenesis and diagnosis and treatment of this disease,Chinese and Western medicine have their own points of view.Western medicine research mainly focuses on autonomic dysfunction,endocrine theory,inflammatory factors,etc.,while traditional Chinese medicine is based on classic medicine,starting from the whole,based on syndrome differentiation and treatment,often get good results.This article retrieved a large number of domestic and foreign related literatures,systematically expounded the etiology and pathogenesis of coronary heart disease combined with anxiety and depression in Chinese and Western medicine and the latest diagnosis and treatment plan in recent years,and elaborated on the etiology,pathogenesis and characteristic treatment of coronary heart disease combined with anxiety and depression in Chinese and Western medicine.The majority of clinicians provide reference.