首页|经皮冠状动脉介入治疗术后再狭窄的中医药防治研究进展

经皮冠状动脉介入治疗术后再狭窄的中医药防治研究进展

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冠心病(CHD)是目前全球死亡的首要原因,经皮冠状动脉介入治疗(PCI)已成为CHD最常见的治疗选择,然而,支架内再狭窄(ISR)是影响PCI远期疗效与预后的重要影响因素。本文从PubMed、中国知网等数据库中进行检索近10年中医药防治PCI术后ISR的相关研究文献,进行综述。PCI术后临床常见分型为气虚血瘀证、阳虚血瘀证、气滞血瘀证、痰瘀互阻证、气虚瘀毒证。疗效较好的方剂为芎芍胶囊、益气凉血生肌方、补阳还五汤、瓜蒌薤白白酒汤、瓜蒌薤白半夏汤、血府逐瘀汤,临床应用的中成药为通心络胶囊、丹蒌片、麝香保心丸、复方丹参滴丸。常用的中药为丹参、川芎、黄芪。
Traditional Chinese Medicine for Prevention and Treatment of In-stent Stenosis after Percutaneous Coronary Intervention:A Review
Coronary heart disease(CHD)is currently the leading cause of death globally,and percutaneous coronary intervention(PCI)has become the most common therapy for CHD.However,in-stent restenosis(ISR)is a major factor affecting the long-term efficacy and prognosis of PCI.This article reviews the research progress in the prevention and treatment of ISR after PCI with traditional Chinese medicine(TCM)by retrieving relevant articles from PubMed and CNKI.The common TCM syndromes after PCI are qi deficiency and blood stasis,yang deficiency and blood stasis,qi stagnation and blood stasis,phlegm-stasis obstruction,and qi deficiency and stasis toxin.The effective prescriptions include Xiongshao Capsules,Yiqi Liangxue Shengji Formula,Buyang Huanwu Decoction,Gualou Xiebai Baijiu Decoction,Gualou Xiebai Banxia Decoction,and Xuefu Zhuyu Decoction.The Chinese patent medicines used in clinical practice include Tongxinluo Capsules,Danlou Tablets,Shexiang Baoxin Pills,and Compound Danshen Dropping Pills.The commonly used Chinese herbal medicines are Salviae Miltiorrhizae Radix et Rhizoma,Chuanxiong Rhizoma,and Astragali Radix.

percutaneous coronary interventiontraditional Chinese medicinein-stent stenosisreview

刘璐、贾文浩

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北京市海淀区妇幼保健院(北京 100195)

北京中医药大学第三附属医院(北京 100029)

经皮冠状动脉介入治疗 中医药 支架内再狭窄 综述

北京中医药大学新教师启动基金项目

2021-JYB-XJSJJ-080

2024

基层中医药
中国中医科学院中医研究所

基层中医药

ISSN:2097-1222
年,卷(期):2024.3(9)