首页|从"痰瘀-热毒"论冠脉临界病变斑块微环境中医药调控机制

从"痰瘀-热毒"论冠脉临界病变斑块微环境中医药调控机制

扫码查看
冠脉临界病变是冠状动脉粥样硬化性心脏病发展过程中的特殊阶段,此阶段中斑块微环境内的多种生物成分相互作用,形成一个复杂的生态系统。冠脉临界病变"痰瘀-热毒"的证候演变与炎症反应、内皮损伤、血管新生及脂质代谢等现代病理机制相应。故临证治疗应采用"消、清、通"法调控冠脉临界病变斑块微环境,即:消痰瘀——改善内皮损伤与脂质沉积;清热毒——抑制炎症反应;通脉络——抑制斑块内血管新生。如此则可发挥抗炎、改善内皮与血脂代谢、抑制斑块内血管新生的作用,共同构建冠脉临界病变"痰瘀-热毒"的病证结合全周期动态干预模式。
TCM Microenvironmental Regulation Mechanism of Coronary Artery Critical Lesion Plaques from Perspective of"Phlegm-Stasis and Heat-Toxin"
Critical coronary lesions are a special stage in the development of coronary atherosclerotic heart disease,in which multiple bi-ological components within the plaque microenvironment interact with each other to form a complex ecosystem.The evolution of"Phlegm-Stasis and Heat-toxin"in critical lesions of coronary artery corresponds to the modern pathological mechanisms of inflammatory reac-tion,endothelial damage,neovascularization and lipid metabolism.Therefore,the clinical treatment should adopt the method of"elimina-ting,clearing and dredging"to regulate the plaque microenvironment of critical lesions of coronary artery,i.e.:eliminating Phlegm and stasis to improve endothelial damage and lipid deposition;clearing Heat and toxin to suppress the inflammatory reaction;dredging merid-ians and collaterals to suppress the vascularization in the plaque.In this way,it can play the role of anti-inflammatory,improve the quality of blood vessels in plaque.In this way,anti-inflammation,improvement of endothelial and lipid metabolism,and inhibition of plaque neovascularization can be realized,and the whole-cycle dynamic intervention model of"Phlegm-stasis and Heat-Toxin"for critical coronary lesions can be constructed together.

critical lesions of coronary artery"Phlegm-stasis and Heat-toxin"atherosclerosisplaque microenvironmentneovascu-larization

连文静、王阶、张振鹏、刘兰椿

展开 >

中国中医科学院广安门医院,北京 100053

冠脉临界病变 "痰瘀-热毒" 动脉粥样硬化 斑块微环境 血管新生

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)