中西医对失眠与心血管疾病共病的研究进展  

Research progress of TCM and western medicine on insomnia and cardiovascular disease

作　　者：李璐璐[1] 刘梅颜[2] 张丽军[3] 刘梦超[3] 陈琦玲[4] 

机构地区：[1]北京中医药大学东方学院中医系,廊坊065000 [2]首都医科大学附属北京安贞医院心内科,100029 [3]北京中医药大学东直门医院心内科,100029 [4]北京大学人民医院心内科,100044

出　　处：《疑难病杂志》2016年第1期96-100,共5页Chinese Journal of Difficult and Complicated Cases

摘　　要：失眠是指患者对睡眠时间和/或质量不满足并影响日间社会功能的一种主观体验,是睡眠障碍中最常见的一种。近年来,失眠的发病率日益升高,其与心血管疾病的关系也受到了广泛关注。多项研究表明,心血管疾病与失眠的共病率高,失眠对心血管疾病有重要影响,可通过自主神经系统、下丘脑一垂体一肾上腺素轴及释放炎性因子等对心血管系统产生作用,从而增加心血管疾病的发生风险或使原发病病情加重。文章探讨失眠影响心血管疾病的具体机制,失眠与高血压、冠心病、心力衰竭等常见心血管疾病的关系,以及心血管疾病合并失眠的诊断与治疗,以期引起更多临床工作者对失眠的重视,从而更好地指导临床。Insomnia is a kind of subjective experience of patients to sleep time and/or quality is not satisfied with the social function ol the daytime,it is the most common type of sleep disorders.In recent years,the incidence ol insomnia is increasing,and its relationship with cardiovascular disease has received widespread attention.A number of studies have shown that cardiovascular disease and insomnia are high concurrence,insomnia has an important effect on cardiovascular disease,the effect can be through the autonomic nervous system,hypothalamus-pituitary-adrenaline axis and release inflammatory factors on the cardiovascular system,therehy increasing the risk ol cardiovascular disease or making the original disease progression.The article discussed the specific mechanism of insomnia,relationship between insomnia and hypertension,coronary heart disease,heart failure and other common cardiovascular disease,as well as the diagnosis and treatment of cardiovascular disease combined with insomnia,in order to focus more attention on this disease,and thus better guiding clinical practice.

关 键 词：失眠 心血管疾病 共病性 中西医临床 

分 类 号：R740[医药卫生—神经病学与精神病学] R54[医药卫生—临床医学]