老年高血压病、冠心病与心理社会因素  

Relation between psychosocial factors and essential hypertension and coronary heart disease in the aged

作　　者：范宗华[1] 贾玲[1] 王毅[1] 杨俊敏[1] 王淑梅[1] 徐恩惠[2] 

机构地区：[1]河南医科大学第一附属医院内科 [2]河南医科大学第一附属医院心理咨询室

出　　处：《河南医科大学学报》1990年第4期392-394,共3页Journal of Henan Medical University

摘　　要：以病例对照配对法,观察了老年高血压病、冠心病和对照组各320例,试图探索心理社会因素与高血压病、冠心病的相关性。调查发现:病例组的生活事件出现率占78.75%(252/320),对照组为41.26%(132/320)。将病例组与对照组的行为方式进行比较.病例组具有时间紧迫感、生活节奏快、争强好胜等A型行为方式者明显高于对照组,两组差异颇为显著。结果提示不良的社会体验是老年高血压、冠心病不容忽视的致病因素之一并表明A型行为方式与高血压病、冠心病的发病有关。320 cases of essential hypertension and coronary heart disease in the aged wereinvestigated with a revised psychosocial experience schedual. and compared with acontrol group of 320 healthy sobjectd of the corresponding age and sex. Investigation showed significant difference between the two groups. Behaviourtype A was much more common (P<0.01)in the group of essential hypertensiosn andcoronary heart disease than that in the control.The rate of occurrence of life events wasfound to be 78.75 %(252/320)in the group of essential hypertension and coronary heartdisease,and 41.26 %(132/320)in the control. The difference was significant(P<0.01). Results suggest that behaviour type A and life event stress beclosely related inthe pathogenesis of essential hypertension and coronary heart disease of the aged.

关 键 词：高血压病 冠心病 心理社会因素 

分 类 号：R54[医药卫生—心血管疾病]