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中药治疗冠状动脉微血管疾病的用药规律与作用机制研究

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目的 分析冠状动脉微血管疾病采用中药治疗的用药规律,并探讨中药的作用机制.方法 基于文献统计和网络药理学分析,在中国知网数据库收集中药治疗冠状动脉微血管疾病的相关文献,采用SPSS软件进行统计学分析,探究中药治疗冠状动脉微血管疾病的用药规律与作用机制.结果 按照纳排标准筛选出符合本研究的文献,共计72篇,其中中药汤剂27种(频次为43次),中成药16种(频次为40次),注射剂5种(频次为10次).中药汤剂27种共含中药49味,合计频次307次,共有12味中药单独使用频次超过10次,包括川穹、当归、丹参、柴胡、甘草、茯苓等;在涉及的49味药物中,四气以温性频次最高(12次),其次是平性(10次);五味以甘味频次最高(20次),其次是辛味(18次);归经多属肝经(21次),其次是脾经(19次).结论 冠状动脉微血管疾病采用中药治疗时以血为要,以活血化瘀、理气化痰为治疗原则,改善血液循环、抗炎作用,并调节血脂,提高心血管系统的功能,即通过改善心血管功能、抗氧化抗炎、改善血液流变学参数、调节免疫功能以及活化内皮细胞等方式来达到治疗效果.
Research on the Medication Pattern and Mechanism of Action of Traditional Chinese Medicine in Treatment of Coronary Microvascular Disease
Objective To analyze the medication pattern and mechanism of action of traditional Chinese medicine for coronary microvascular disease.Methods Based on literature statistics and network pharmacology analysis,the paper collected relevant literature on traditional Chinese medicine treatment for coronary microvascular disease in the computer China National Knowledge Infrastructure database,and carried on statistical analysis SPSS software to explore the medication pattern and mechanisms of action of traditional Chinese medicine for coronary microvascular disease.Results The paper screened 72 articles suitable for the study according to the criteria,including 27 types of TCM decoction (with frequency of 43 times),16 types of traditional Chinese patent medicines and simple preparations (with frequency of 40 times),and 5 types of injections (with frequency of 10 times).There were 27 types of TCM decoctions,containing 49 herbs,with a total frequency of 307 times.There were 12 herbs which were used only for more than 10 times,including cnidium officinale makino,angelica sinensis,salvia miltiorrhiza,radix bupleuri,licorice,poria and etc.Among the 49 herbs involved,the frequency of warm qi is the highest (12),followed by flat qi (10).Among the five flavors,the sweet flavor had the highest frequency (20),followed by spicy flavor (18).Most of the meridians belonged to the liver meridian (21),followed by the spleen meridian (19).Conclusion Traditional Chinese medicine mainly focuses on blood circulation of coronary microvascular disease,with principles of promoting blood circulation,removing blood stasis,regulating qi,and resolving phlegm,improving blood circulation,anti-inflammatory effect,and regulating blood lipids,enhancing the function of cardiovascular system,which achieves curative effect by improving cardiovascular function,antioxidant and anti-inflammatory effect,hemorheological parameters,regulating immune function and activating endothelial cells.

Coronary microvascular diseaseTraditional Chinese medicineMedication patternMechanism of action

马益萍

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西安工程大学校医院,陕西 西安 710001

冠状动脉微血管疾病 中药 用药规律 作用机制

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)