社会心理因素对冠心病发生发展的影响  

Effect of Social Psychic Factor on Coronary Heart Disease in its Occurrence and Development

作　　者：郝芳[1] 毛家亮[1] 

机构地区：[1]上海交通大学医学院附属仁济医院心内科,上海200127

出　　处：《医学综述》2006年第20期1252-1254,共3页Medical Recapitulate

基　　金：上海市高等学校科技技术发展基金(01B09)

摘　　要：冠心病的传统危险因素仅能解释2/3的病例,且冠心病的发病年龄呈现年轻化趋势,激发人们去探讨冠心病的其他潜在危险因素。医学模式由传统的生物-医学模式向生物-心理-社会医学模式的转换说明心理状态对疾病的影响巨大。近年来的研究发现,社会心理因素能够促进动脉粥样硬化和心血管疾病的发生、发展。本文就社会心理因素对冠心病影响的流行病学证据及病理生理机制简要综述。The conventional risk factors can only explain 2/3 cases among all the patients with coronary disease, whose age of onset is becoming younger, so it stimulates people to explore its any other potential risk factors. Change from biomedical model to bio-psycho-social model demonstrates that psychosocial factors have great influence on many diseases. Recently many studies reveal that psychosocial factors can promote the occurrence and development of atherosclerosis and coronary heart diseases. In this article, we discuss the epidemiologic evidence and pathophysiologic mechanisms of the influence of social psychic factor on coronary heart diseases.

关 键 词：冠心病 社会心理因素 危险因素 流行病学 

分 类 号：R541.4[医药卫生—心血管疾病]