摘要
经皮冠状动脉介入治疗 (PercutaneousCoronaryIntervention ,PCI)后再狭窄 (Restenosis ,RS)是影响PCI术远期疗效的主要因素之一 ,预防PCI术后RS已成为医学研究的热点。我们在中医外伤学说和气血理论的基础上 ,结合PCI术后RS的病理特点 ,认为气虚血瘀是PCI术后RS的病理基础 ,络脉脉体损伤是PCI术后RS的重要发病环节 ,气虚络伤 ,络伤难复 ,瘀血内停 ,痹阻心络是PCI术后RS的主要病理演变过程。提出气虚络伤、瘀阻心络是产生PCI术后RS的主要病机 ,故补气生肌、祛瘀通络是防治PCI术后RS的主要治法。
Restenosis (RS) after Percutaneous Coronary Int ervention (PCI) is one of the major factors affecting long-term effectiveness of PCI.With development in the study of RS,preventing RS has become one of the targets of recent studies. It is well known that few therapies have been provid ed for preventing RS until now. Based othe doctrine of trauma and the theory of Qi and blood in traditional Chinese medicine (TCM) and combining clinical feat ures of RS after PCI,we first put forward that deficiency of Qi and stasis of b lood are pathological basis of the disease,collateral damage is a key link in th e occurrence of RS,deficiency of Qi and damage of collateral,followed by slow re covery from damage of Collateral, and the eventual blood stasis obstruction in t he heart collateral form the main course of the pathological change of the disea se.Therefore,deficiency of Qi and damage of collateral,obstructing heart collate ral due to blood stasis form the main pathogenesis of RS after PCI and suppling Qi and generating muscle,removing blood stasis and activating collateral are th e main therapeutic priniciples for preventing RS after PCI.
出处
《中国中医基础医学杂志》
CAS
CSCD
2003年第2期14-16,共3页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
再狭窄
经皮冠状动脉介入治疗术
中医学
病机
治疗
Restenosis
Percutaneous coronary intervention therapeuty of traditional Chinese medicine
Suppling Qi and generating muscle
Removing blood stasis and activating collateral
