心理应激和生活方式或与高血压性脑血管病的相关性 脑血管病人吃什么好

　　[摘要] 目的 探讨心理应激和生活方式与高血压性脑血管病的相关性，以降低高血压性脑血管病的发生。方法 对102例高血压性脑血管病患者的生活方式和心理应激因素进行调查，并与84例非高血压脑血管病患者进行比较。结果 高血压性脑血管病组在不良生活方式和心理应激方面与对照组相比。差异有统计学意义（P 　　总之，心理应激因素和生活方式在高血压性脑血管病的发生发展过程中起着重要作用。因此提高心理应激能力，进行心理干预和生活方式的积极干预，既使现代医学模式：生物-心理-社会的模式有了更为实际而具体的意义；又能为心身性疾病如本研究所观察高血压性脑血管病的防治方向提供了有力的临床依据。
　　参考文献
　　[1] 陈灏珠, 林果为. 实用内科学[M]. 第13版2009:1524.
　　[2] 全国第四届脑血管病学术会议各类脑血管疾病诊断要点(1995)[J]. 中华神经科杂志,1996,29(6):379.
　　[3]王维治, 罗祖明.神经病学[M].第5版.北京:人民卫生出版社,2006:130.
　　[4] Henriksson KM, Lindblad U, Gullberg B,et al. Body compositon, ethnicity and alcohol consumption as deteinants for the development of blood pressure in a birth cohort of young middle-aged men. Eur J Epidemiol,2003,18:955-963.
　　[5] 应长青, 张永红, 佟伟军, 等. 蒙古族高血压遗传及环境危险因素分析[J].中国公共卫生,2007,23(9):1075-1077.
　　[6] Chen LN,Smith GD,Harbord RM, et al. Alcohol intake and Blood Pressure:A Systematic Review implementing a Mendelian Randomization Approach[J]. Plos medcine, 2008, 5: 0461-0470.
　　[7] Retnakaran R, Anthony J.G Hanley, Connelly PW, et al. Cigarette smoking and cardiovascular risk factors among A boriginal Canadian youths Research, 2005,173:885-889.
　　[8] 郭忠会. 脑血管病危险因素研究的现状[J]. 哈尔滨医药,2007,27(5):51.
　　[9] 潘怡, 江国虹, 常政, 等. 超重及肥胖的现况调查[J].现代预防医学, 2010, 39(9):1690-1691.
　　[10] Galza S, Decarli A, Ferraroni M. Obesity and prevalence of chronic disease in the 1999-2000 Italian Notianal Health Survey [J]. BMC Public Health,2008,8:140.
　　[11] Zindah M, Belbeisi A, Walke H, Mokdad AH. Obesity and diabetes in Jordan: findings from the behavioral risk factors surveillance system 2004[J]. Prev Chronic Dis,2008,5(1):A17.
　　[12] Z.Wang, W.E.Hoy. Waist Circumference, Body Mass Index, Hip Circumference and Waist-To-Hip Ratio as Predictors of Cardiovascular Disease in Aboriginal People. European [J].Jounal of Clinical Nutrition,2004(58):888-893.
　　[13] 张七一, 王旭, 侯建民, 等译. 高血压与心血管病现代治疗学[M]. 第1版. 北京: 人民卫生出版社,2010:76.
　　[14] Kirii K, Tanaka S, Yamagishi K, et al. Associations between cardiovascular risk factors and carotid atherosclerosis in middle-aged Japanese men with multiple risk factors[J]. Ind Health,2008,46(6):607-612.
　　[16] Hamer M, Tanaka G, Okamura H, et al. The effect of depressive symptoms cardiovascular and catacholamine response to the induction of depressive mood[J]. Bio Psychol,2007,74:20-25.
　　[17] Bosworth HB, Bartash RM, Olsen MK, et al. The association of psychosocial factors and depression with hypertension among older adults[J]. Int J Geriatr Psychiatry,2003,18:1142-1148.
　　[18] 姚菊峰, 付菊芳. 负性情绪干预对高血压患者心脑血管事件发生率的影响[J]. 解放军护理杂志,2002,19(5):30-31.
　　[19] Weiss IC, Pryce CR, Jongen-Relo Al, et al. Effect of social Isolation on stress-related behavioral and neuroen-docrine state in the rat[J].Behav Brain,2004,152:279-295.
　　[20] 陈新, 赵英, 何爱桃, 等. 心理应激前后血液中部分血管活性物质浓度的变化[J]. 中国行为医学科学,2003,12(2):148-149.
　　[21] Bematova I, Csizmadiava Z. Effect of chronic social stress on nitric oxide synthesis and vascular function in rats with family history of hypertension Life Sci,2006,78:1726-1732.
　　[22] Kilicarslan AB, Ogus M, A rici C. Clinical importance of vascular endothelial growth factor for parpillary thyroid carcinomas [J]. Acta Pathol Microbial Immunol Scand,2003,111:430.
　　[23] Tsimikas S, Brilakis ES, Miller ER, et al. Oxidized phospho lipids, Lp(a) lipop rotein, and coronary artery disease[J]. N Eng J Med,2005,353:46-57.