Based on Fuxie theory,the pathogenesis of acute myocardial infarction(AMI)is described.By analyzing the similarity between the pathogenesis of Fuxie and the incidence of AMI,it is believed that incubated diseases is c...Based on Fuxie theory,the pathogenesis of acute myocardial infarction(AMI)is described.By analyzing the similarity between the pathogenesis of Fuxie and the incidence of AMI,it is believed that incubated diseases is closely related to the occurrence and development of AMI.Incubated diseases is a relapse of AMI reason.From the perspective of Ying-wei theory,the pathogenesis of AMI and the imbalance of energy metabolism in the process of AMI are explained,which provides new ideas for Chinese medicine to explain myocardial infarction.展开更多
目的:探讨基于营卫理论指导下应用益气活血通脉汤治疗气虚血瘀型反杓型高血压的疗效。方法:选取2022年1—2月就诊于江西中医药大学附属医院心血管科的气虚血瘀型反杓型高血压患者60例,随机分为对照组和观察组,各30例。对照组给予苯磺酸...目的:探讨基于营卫理论指导下应用益气活血通脉汤治疗气虚血瘀型反杓型高血压的疗效。方法:选取2022年1—2月就诊于江西中医药大学附属医院心血管科的气虚血瘀型反杓型高血压患者60例,随机分为对照组和观察组,各30例。对照组给予苯磺酸氨氯地平片治疗,观察组在对照组基础上给予益气活血通脉汤治疗,疗程为12周。观察2组患者临床疗效,治疗前后中医证候积分、血脂水平[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)]、动态血压水平[24 h平均收缩压(24 h SBP)、24 h平均舒张压(24 h DBP)、日间平均收缩压(dSBP)、日间平均舒张压(dDBP)、夜间平均收缩压(n SBP)、夜间平均舒张压(n DBP)、夜间收缩压下降率(SBPF)、夜间舒张压下降率(DBPF)、收缩压负荷(SBPL)、舒张压负荷(DBPL)、晨峰血压(MBPS)、脉压差(PP)]、血压昼夜节律,并记录不良反应。结果:治疗后,观察组总有效率(96.67%)高于对照组(73.33%)(P<0.05);2组患者治疗后中医证候积分、血脂水平均较治疗前下降(P<0.05,P<0.01),且观察组中医证候积分及TC、TG水平均低于对照组(P<0.05);2组患者治疗后各动态血压水平均较治疗前降低,且观察组24 h SBP、n SBP、24 h DBP、dDBP、24 h SBPL、d SBPL、nSBPL、24 h DBPL、dDBPL、MBPS均低于对照组(P<0.05);治疗后观察组反杓型血压昼夜节律逆转率高于对照组(P<0.05);治疗期间2组患者的不良反应无显著差异。结论:营卫理论指导下的益气活血通脉汤能够缓解气虚血瘀型反杓型高血压患者临床症状,降低患者血压,恢复血压节律。展开更多
基金Tianjin Health and Health Committee,Tianjin Administration of Traditional Chinese Medicine Research Project of Integrated Traditional Chinese and Western Medicine(No.201930)。
文摘Based on Fuxie theory,the pathogenesis of acute myocardial infarction(AMI)is described.By analyzing the similarity between the pathogenesis of Fuxie and the incidence of AMI,it is believed that incubated diseases is closely related to the occurrence and development of AMI.Incubated diseases is a relapse of AMI reason.From the perspective of Ying-wei theory,the pathogenesis of AMI and the imbalance of energy metabolism in the process of AMI are explained,which provides new ideas for Chinese medicine to explain myocardial infarction.
文摘目的:探讨基于营卫理论指导下应用益气活血通脉汤治疗气虚血瘀型反杓型高血压的疗效。方法:选取2022年1—2月就诊于江西中医药大学附属医院心血管科的气虚血瘀型反杓型高血压患者60例,随机分为对照组和观察组,各30例。对照组给予苯磺酸氨氯地平片治疗,观察组在对照组基础上给予益气活血通脉汤治疗,疗程为12周。观察2组患者临床疗效,治疗前后中医证候积分、血脂水平[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)]、动态血压水平[24 h平均收缩压(24 h SBP)、24 h平均舒张压(24 h DBP)、日间平均收缩压(dSBP)、日间平均舒张压(dDBP)、夜间平均收缩压(n SBP)、夜间平均舒张压(n DBP)、夜间收缩压下降率(SBPF)、夜间舒张压下降率(DBPF)、收缩压负荷(SBPL)、舒张压负荷(DBPL)、晨峰血压(MBPS)、脉压差(PP)]、血压昼夜节律,并记录不良反应。结果:治疗后,观察组总有效率(96.67%)高于对照组(73.33%)(P<0.05);2组患者治疗后中医证候积分、血脂水平均较治疗前下降(P<0.05,P<0.01),且观察组中医证候积分及TC、TG水平均低于对照组(P<0.05);2组患者治疗后各动态血压水平均较治疗前降低,且观察组24 h SBP、n SBP、24 h DBP、dDBP、24 h SBPL、d SBPL、nSBPL、24 h DBPL、dDBPL、MBPS均低于对照组(P<0.05);治疗后观察组反杓型血压昼夜节律逆转率高于对照组(P<0.05);治疗期间2组患者的不良反应无显著差异。结论:营卫理论指导下的益气活血通脉汤能够缓解气虚血瘀型反杓型高血压患者临床症状,降低患者血压,恢复血压节律。
