精神身体医学の立場からみた高血圧症管理

概要

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I attempted to estimate the value of hypertensive complaints and also analyse the labile hypertension from psychosomatic standpoints. 152 patients with essential hypertension and 407 subjects with essential hypertension at the cardiovascular mass examination were treated.The results were as follows;1) There were no significant relationship between blood pressure levels and subjective complaints and the rate of CMI neurotic tendency.2) The hypertensive patients were arranged in classes with and without subjective complaints. At the first clinical examination, the patients without subjective complaints showed higher systolic blood pressure level and less neurotic tendency than the patients with subjective complaints.3) There was a general tendency that the patients with CMI neurotic tendency had good posture to accept the medical management of hypertension and their prognosis were finally good.4) In cardiovascular mass examination group, there were subjects with labile hypertension. Their blood pressure levels were very changeable between at the time of the 1st and the 2nd examination. It was considered that the unstability of blood pressure levels were perhaps reffered to subject's psychosomatic factors.So it is necessary to follow up their blood pressure proceeding.
日本心身医学会の論文
1972-02-01