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社会心理因素对冠心病发病影响的相关性研究
引用本文:何耀,李兰荪.社会心理因素对冠心病发病影响的相关性研究[J].中国心理卫生杂志,1992,6(1):1-4,16.
作者姓名:何耀  李兰荪
作者单位:第四军医大学流行病教研室 (何耀,李良寿,万志恒),第四军医大学西京医院心内科 (李兰荪),第四军医大学西京医院心内科(贾国良)
摘    要:对125例经冠脉造影确诊的冠心病患者与165例对照进行职业类型、负性生活事件、A型性格等社会心理因素及冠心病相关的血脂、血液流变学指标的观察和分析,结果提示:职业类型是与脂代谢及血液流变学指标明显相关的变量之一,负性生活事件所致应激反应表现出的神经内分泌和血液流变学改变与致死性心血管病发作有关,而 A 型性格者相应血液理化指标的特点与动脉粥样硬化的形成及冠心病的促发机制有关。

关 键 词:A型性格  致病  冠心病  病理

Study on the possible effects of psychosocial factors on the development of coronary artery disease
Yao He et al.,Epidemiology.Study on the possible effects of psychosocial factors on the development of coronary artery disease[J].Chinese Mental Health Journal,1992,6(1):1-4,16.
Authors:Yao He  Epidemiology
Abstract:Compared with 165 subjects without coronary artery disease(CAD),125 CAD pa-tients diagnosed bycoronary arteriography were investigated on the possibld relationship among psy-choosocial factors,including occupation,negative life events,type A behavior,and indexes of bloodlipid and blood rheology.The results showed that occupation type was one of the significantly correatesto the indexes of blood-lipid metabalism and blood rheology.The changes of neuroendocrinology andblood rheology following the occurrence of negative life events were correlated with the onset of lethalCAD.The physical and chemical indexes of hematology observed in subjects with Type A behaviorwere associated with atherogenesis and the pathogenesis of CAD.
Keywords:Coronarism  occupation type  negative life event  Type A Behavior  pathogenesis
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