首页|中药治疗心脏神经官能症的研究进展

中药治疗心脏神经官能症的研究进展

扫码查看
心脏神经官能症(CN)属于神经官能症中比较特殊的一种,CN属于临床综合征,主要表现为与循环系统相关的躯体化症状,以自主神经功能障碍为特征,并与心血管功能紊乱有关,是临床中极为常见的一种心血管疾病。CN患者通常无器质性疾病的客观证据,多表现为如心悸、乏力、心前区闷痛、呼吸困难等症状,少数患者同时合并植物神经功能紊乱症状。临床中对于这部分患者诊断困难,往往需要完善大量辅助检查,以排除器质性疾病后的排他性诊断,这不仅为患者就诊提供了难度,而且对医疗资源也存在一定程度的浪费。同时对于CN患者的治疗国内外存在多种理论,均缺乏大规模的研究数据支持,西医对于CN患者多主张应用精神类药物,及自主神经调节类药物治疗,精神类药物的应用可能会加重部分患者的焦虑紧张情绪,进一步加重病情。因此,本文在查阅大量文献的基础上,旨在分析探讨中药治疗心脏神经官能症的优势及不足,讨论探索CN患者的长期治疗及中医诊治管理新模式。
Research progress of traditional Chinese medicine in treating cardiac neurosis
Cardiac neurosis(CN)is a relatively special type of neurosis.CN belongs to clinical syndromes,mainly manifested as somatization symptoms related to the circulatory system,characterized by autonomic dysfunction and related to cardiovascular dysfunction.It is a very common cardiovascular disease in clinical practice.CN patients usually lack objective evidence of organic diseases and often exhibit symptoms such as palpitations,fatigue,precordial pain,and difficulty breathing.A few patients also have symptoms of autonomic nervous system dysfunction.In clinical practice,it is difficult to diagnose these patients and often requires a large number of auxiliary examinations to exclude exclusive diagnosis after organic diseases.This not only provides difficulty for patients to seek medical treatment,but also wastes medical resources to a certain extent.At the same time,there are various theories regarding the treatment of CN patients both domestically and internationally,and there is a lack of systematic research data to support them.Western medicine often advocates the use of psychotropic drugs and autonomic nervous regulation drugs for CN patients.The use of psychotropic drugs may exacerbate anxiety and tension in some patients,further exacerbating their condition.Therefore,based on extensive literature review,this article aims to analyze and explore the advantages and disadvantages of traditional Chinese medicine in treating cardiac neurosis,and discuss the long-term treatment of CN patients and new models of traditional Chinese medicine diagnosis and treatment management.

Cardiac neurosisSomatization symptomsTreatmentTraditional Chinese medical scienceTraditional Chinese medicine

杨彩云、孙国通、朱文元、贾行磊、孟双凤、王志斌

展开 >

山东省寿光市中医医院心血管病科,山东寿光 262700

山东省寿光市中医医院脑病二科,山东寿光 262700

心脏神经官能症 躯体化症状 治疗 中医 中药

潍坊市中医药科学技术研究项目

WFZYY2023-4-062

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(15)