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双心诊疗模式中西医研究现状

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在临床诊治过程中,心血管疾病常常伴有复杂的心理社会因素,具有较高的精神心理障碍发病率,即"双心疾病".防治这类心血管病要从心脏、心理两方面入手,即双心诊疗模式.目前部分临床医生及患者对于双心疾病认识不足,医生接诊时重视客观检查,缺乏与患者的实际沟通,患者则不能正确分辨其与器质类心脏病的区别.这些情况要求临床的医务人员在重视药物、物理治疗的基础上,还要对患者的心理状况采用个体化心理评估以及干预,以维持机体整体平衡,追求心血管和心理整体健康.目前现代医学对其研究与治疗已经有了坚实的基础,临床医生对于此类疾病有了更加清楚的认识.中医学对双心疾病也有深刻的见解,以整体观念与辨证论治,通过中药内服及特色外治疗法(针灸、穴位贴敷、导引、五音疗法等)可明显缓解心脏病伴有心理障碍患者的临床症状,同时无服用抗抑郁、焦虑药物带来的心理排斥,在双心疾病的干预治疗中发挥着更加重要的作用.中西医结合治疗对于双心疾病意义重大,取长补短,各尽其用,真正达到了"身心同治"的临床治疗目的,做到了以人为本的诊疗理念,患者的认可和接受程度越来越高,具有广阔的发展空间.
Integrated Chinese and Western medicine research status of psycho-cardio diagnosis and treatment model
In the course of clinical diagnosis and treatment,cardiovascular disease is often accompanied by complex psychosocial factors,and it is with a high incidence of mental disorders,namely"psycho-cardiology disease".For the prevention and treatment of such cardio-vascular diseases,it is necessary to start from the cardiology and psychology,that is,the psycho-cardio diagnosis and treatment model.At present,some clinicians and patients are in lack of understanding of psycho-cardio disease,doctors pay attention to objective examination in the treatment and lack in actual communication with patients,patients can not correctly distinguish the difference between the psychological disease and the organ type of heart disease.These situations require clinical medical personnel to pay attention to drugs,physical therapy on the basis of individual psychological assessment and intervention of patients'psychological conditions,in order to maintain the overall balance of the body,the pursuit of overall cardiovascular and psychological health.At present,modern medicine has a solid foundation for its research and treatment,and clinicians have a clearer understanding of such diseases.Traditional Chinese medicine also has profound insights into psycho-cardio disease.Based on the theory of holistic concept and syndrome differentiation,traditional Chinese medicine interna treatme and characteristic external treatment(acupuncture,acupoint application,guidance,five-tone therapy,etc.)can significantly alleviate the clinical symptoms of patients with heart disease accompanied by psychological disorders,and there is no psychological rejection caused by taking anti-depression and anxiety drugs.It plays a more important role in the intervention and treatment of psycho-cardio disease.The treatment of integrated traditional Chinese medicine and Western medicine is of great significance for psycho-cardio disease,traditional Chinese medicine and Western medicine learn from each other and make full use of each,and truly achieve the clinical treatment purpose of"physical and mental treatment",and achieve the people-oriented diagnosis and treatment concept,the recognition and acceptance of patients is getting higher and higher,and it has a broad space for development.

Psycho-cardio diagnosis and treatmentIntegrated traditional Chinese medicine and Western medicinePsychological intervention

李雪梅、张晓华

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长春中医药大学,吉林 长春,130117

吉林省中医药科学院,吉林 长春,130021

双心诊疗 中西医结合 心理干预

吉林省中医药科技项目

2022068

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(15)