[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fMuw4HPm-LPqHniWOZY4uaf8DNXSCac_UJtzUjiFliWY":8,"$f66rg6mCdQS8rqa8NtMuNi6YdzuIp72_mSnPL0p79s88":56,"$fsQ8Z1o97C7ItJzTmZem_BabAYZHuSdaJC5Lv6uIDDlo":60},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":29,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":21,"menus":33,"menuId":35,"type":43,"quality":54,"commentCount":21,"isComment":43},13911,865785,[],"https://ystcdn.venuertc.com/medical/ystApp/t2oqnaVcEQlqwu38glC0DtH8yQoFb7if.png","薛海兵","夹江县人民医院","神经内科","副主任医师",6,0,"心累气紧、腹痛不适？看看焦虑症和慢性疾病的双重威胁！","","https://ystcdn.venuertc.com/venue/AI/45bc8634-9aab-4b4b-9083-5bb78c31ad00.jpg","\u003Cp style=\"margin:15px 0\">生活中，我们常常将许多身体的异样现象归咎于年纪大了或者劳累过度。然而，面对心累、气紧和腹痛等症状时，我们是否应该更加警觉？尤其是在老年群体中，这些看似普通的症状可能隐藏着较为复杂的健康问题。今天，我们就来探讨一下这些症状背后的可能原因以及相应的防治方法。\u003C/p>\u003Cp style=\"margin:15px 0\">根据一个患者的病情记录显示，79岁老人因反复心累、气紧已经持续了五年，并在最近伴有腹痛的症状。他被诊断为肠易激综合征、冠状动脉粥样硬化性心脏病、原发性高血压和焦虑状态。通过这个案例，我们来深入了解这些疾病。\u003C/p>\u003Ch3 style=\"margin:20px 0\">反复心累气紧？很可能是冠心病在作怪！\u003C/h3>\u003Cp style=\"margin:15px 0\">冠状动脉粥样硬化性心脏病，简称冠心病，是由于冠状动脉发生粥样硬化，引起冠状动脉狭窄或阻塞，导致心肌缺血、缺氧而引起的一系列临床症状。冠心病的主要表现之一就是胸闷、心累和气紧，尤其是在体力劳动后更为明显。\u003C/p>\u003Cp style=\"margin:15px 0\">冠心病的危害不可小觑。据相关研究指出，老年人是冠心病的高发群体，特别是那些有高血压、高血脂、糖尿病或有吸烟史的患者（资料来源: Smith SC, Collins A, Ferrari R, Holmes DR, Logstrup S, McGhie DV, Ralston J, Sacco RL, Stam H, Taubert K, Wood DA. Our time: a call to save preventable death from cardiovascular disease (heart disease and stroke). Circulation. 2012;126(22):2769-2775.）。\u003C/p>\u003Ch3 style=\"margin:20px 0\">原发性高血压：无声的健康杀手\u003C/h3>\u003Cp style=\"margin:15px 0\">原发性高血压是指在无明确病因情况下，血压持续升高。高血压被称为“无声杀手”，常常在不知不觉中对心脑血管系统造成严重损害。长期的高血压会增加心脏的负担，进而导致心肌肥厚、心力衰竭等问题。\u003C/p>\u003Cp style=\"margin:15px 0\">世界卫生组织的一份报告显示，高血压是心脑血管疾病最重要的危险因素之一，每年导致的死亡人数超过千万（资料来源: World Health Organization. A global brief on Hypertension. WHO/DCO/WHD/2013.2）。\u003C/p>\u003Ch3 style=\"margin:20px 0\">腹痛？小心是肠易激综合征在作祟\u003C/h3>\u003Cp style=\"margin:15px 0\">肠易激综合征（IBS）是一种常见的功能性胃肠道疾病，临床上以腹痛、腹胀、排便异常等症状为主。虽然疾病的具体原因尚未完全明了，但通常与肠道动力异常、肠内菌群失调及心理因素密切相关。\u003C/p>\u003Cp style=\"margin:15px 0\">肠易激综合征的症状看似较轻，却对生活质量有显著影响。一项研究指出，IBS患者常常因为症状无法预知、不规则发作而感到心理压力（资料来源: Mayer EA, Tillisch K, Bradesi S. Review article: modulation of the brain-gut axis as a therapeutic approach in gastrointestinal disease. Aliment Pharmacol Ther. 2006;24(6):919-933.）。\u003C/p>\u003Ch3 style=\"margin:20px 0\">焦虑症：身体与心理的双重磨难\u003C/h3>\u003Cp style=\"margin:15px 0\">焦虑症是一种常见的心理疾病，表现为长期、持续的紧张、担忧和恐惧。焦虑不仅会影响情绪，还会通过神经系统影响身体，导致失眠、心累、气紧、腹痛等症状\u003C/p>\u003Cp style=\"margin:15px 0\">一项研究发现，焦虑症患者出现心血管疾病和胃肠道症状的概率比普通人更高（资料来源: Tully PJ, Cosh SM, Baumeister H. The anxious heart in whose mind? A systematic review and meta-regression of factors associated with anxiety disorder diagnosis and cardiovascular disease. Journal of Psychosomatic Research. 2014;77(6):439-448.）。\u003C/p>\u003Ch3 style=\"margin:20px 0\">综合治疗方法\u003C/h3>\u003Cp style=\"margin:15px 0\">面对冠心病、高血压、肠易激综合征和焦虑症等多种疾病的困扰，综合治疗方案显得尤为重要。\u003C/p>\u003Cp style=\"margin:15px 0\">冠心病和高血压的治疗包括药物治疗、生活方式的调整和定期体检。对于冠心病患者，可以使用降低血脂的药物如他汀类、抗凝药物以及改善冠状动脉供血的药物。对于高血压患者，则需根据具体情况使用降压药物，如利尿剂、β-受体阻滞剂等（资料来源: James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, Lackland DT, Lefevre ML, Mackenzie TD, Ogedegbe O, Smith SC, Svetkey LP, Taler SJ, Townsend RR, Wright JT, Narva AS, Ortiz E. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults. JAMA. 2014;311(5):507-520.）。\u003C/p>\u003Cp style=\"margin:15px 0\">对于肠易激综合征，调整饮食结构、使用益生菌和心理治疗均有一定效果。此外，可以在医生的指导下使用抗便秘或止泻药物（资料来源: Ford AC, Moayyedi P, Lacy BE, Lembo AJ, Saito YA, Schiller LR, Soffer EE, Spiegel BM, Quigley EM. American College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2015;110(S1):1-19.）。\u003C/p>\u003Ch3 style=\"margin:20px 0\">预防措施\u003C/h3>\u003Cp style=\"margin:15px 0\">预防冠心病和高血压的关键在于健康的生活方式。饮食方面，减少摄入油腻、高盐、高糖食物，多吃蔬菜水果和全谷物，选择富含不饱和脂肪酸的食物如深海鱼。戒烟限酒，保持适度的身体活动，每周至少150分钟中等强度运动。保持体重在合理范围内，避免肥胖（资料来源: N.I.C.E., Hypertension in adults: diagnosis and management. Clinical guideline [CG127]. 2011.）。\u003C/p>\u003Cp style=\"margin:15px 0\">对于肠易激综合征，饮食也是预防的关键。注意避免暴饮暴食，少吃高脂肪、辛辣刺激性食物，同时保持规律的饮食习惯和排便习惯。此外，保持心情愉快，缓解压力对于预防IBS也有重要作用。\u003C/p>\u003Cp style=\"margin:15px 0\">焦虑症的预防需要从心理调节入手。生活中可以多做一些让自己开心的事情，适当参加一些社会活动，保持良好的人际关系。有规律的作息，确保充足的睡眠也能有效缓解焦虑。\u003C/p>\u003Ch3 style=\"margin:20px 0\">心理调节与心态调整\u003C/h3>\u003Cp style=\"margin:15px 0\">面对慢性疾病的长期困扰，心理调节尤为重要。不妨试着接受自己患病的事实，从容面对。积极治疗，定期复查，严格遵循医嘱，都是保障健康的有效措施。\u003C/p>\u003Cp style=\"margin:15px 0\">对于家属朋友来说，对患者给予更多的关心和支持是非常重要的。平时多与患者沟通，多一些理解和包容，帮助他们做好心理疏导和病情监测，共同面对疾病的挑战。\u003C/p>\u003Cp style=\"margin:15px 0\">参考文献\u003C/p>\u003Col style=\"padding: 0 1rem;margin: 1.25rem 1rem 1.25rem 0.4rem\">\u003Cli>\u003Cp style=\"margin:15px 0\">Smith SC, Collins A, Ferrari R, Holmes DR, Logstrup S, McGhie DV, Ralston J, Sacco RL, Stam H, Taubert K, Wood DA. Our time: a call to save preventable death from cardiovascular disease (heart disease and stroke). Circulation. 2012;126(22):2769-2775.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">World Health Organization. A global brief on Hypertension. WHO/DCO/WHD/2013.2\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">Mayer EA, Tillisch K, Bradesi S. Review article: modulation of the brain-gut axis as a therapeutic approach in gastrointestinal disease. Aliment Pharmacol Ther. 2006;24(6):919-933.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">Tully PJ, Cosh SM, Baumeister H. The anxious heart in whose mind? A systematic review and meta-regression of factors associated with anxiety disorder diagnosis and cardiovascular disease. Journal of Psychosomatic Research. 2014;77(6):439-448.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, Lackland DT, Lefevre ML, Mackenzie TD, Ogedegbe O, Smith SC, Svetkey LP, Taler SJ, Townsend RR, Wright JT, Narva AS, Ortiz E. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults. JAMA. 2014;311(5):507-520.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">Ford AC, Moayyedi P, Lacy BE, Lembo AJ, Saito YA, Schiller LR, Soffer EE, Spiegel BM, Quigley EM. American College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2015;110(S1):1-19.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">N.I.C.E., Hypertension in adults: diagnosis and management. Clinical guideline [CG127]. 2011.\u003C/p>\u003C/li>\u003C/ol>","\n\n生活中，我们常常将许多身体的异样现象归咎于年纪大了或者劳累过度。然而，面对心累、气紧和腹痛等症状时，我们是否应该更加警觉？尤其是在老年群体中，这些看似普通的症状可能隐藏着较为复杂的健康问题。今天，",550,"2025-03-20 10:05:52"," 心累气紧、腹痛不适？探索焦虑症与慢性疾病的双重威胁"," 心累气紧, 腹痛不适, 焦虑症, 慢性疾病, 心理健康, 身体症状, 双重威胁"," 你是否经常感到心累气紧或腹痛不适？这可能是焦虑症与慢性疾病的双重威胁。了解这些症状的关联，探索如何有效管理心理健康与身体健康的平衡。","2025-04-05 15:30:00",[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":37,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":21,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":21,"forceLogin":21,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"1986713082609147906","健康科普",2,"article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","慢性病,心理健康",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":61,"success":55},{"authors":62,"appraiseDimensionScoresVos":63},[],[]]