基于中医“治未病”理论探讨动脉粥样硬化前期病变筛查与防治
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摘要
动脉粥样硬化是心脑血管疾病的病理基础,动脉硬化前期病变是动脉粥样硬化的亚临床阶段,在中医"治未病"理论的指导下,对其进行有效的早期筛查,建立以体质辨识为核心的防治体系,可降低心脑血管不良事件的发生,进而提高全民健康水平,具有重大意义。
Atherosclerosis is the pathological basis of cardiovascular and cerebrovascular diseases,preatherosclerotic lesions is a subclinical phase of atherosclerosis,under the guidance of the"preventive treatment of disease"theory of traditional Chinese medicine,it is of great significance to screen early and establish a prevention and treatment system with the core of"constitution-identifying of TCM",which can reduce the occurrence of cardiovascular and cerebrovascular adverse events and further improve the national health level.
Atherosclerosis is the pathological basis of cardiovascular and cerebrovascular diseases,preatherosclerotic lesions is a subclinical phase of atherosclerosis,under the guidance of the"preventive treatment of disease"theory of traditional Chinese medicine,it is of great significance to screen early and establish a prevention and treatment system with the core of"constitution-identifying of TCM",which can reduce the occurrence of cardiovascular and cerebrovascular adverse events and further improve the national health level.
引文
[1]李剑颖,徐亚辉,庞冰洋.“治未病”理论与冠心病[J].中国中医基础医学杂志,2017,23(12):1683-1684,1687.
[2]刘红樱,王蔚.“治未病”中医理论在动脉粥样硬化防治中的应用[J].现代中西医结合杂志,2012,21(7):745-746.
[3]杨丹丹,王凤荣.通脉降浊方联合十八段锦治疗动脉粥样硬化前期病变患者的临床观察[J].世界中西医结合杂志,2018,13(2):211-212,240.
[4]Chung S L,Yang C C,Chen C C,et al. Coronary artery calcium score compared with cardio-ankle vascular index in the prediction of cardiovascular events in asymptomatic patients with type 2diabetes[J].Journal of Atherosclerosis&Thrombosis,2015,22(12):1255-1265.
[5]Kawada T,Andou T,Fukumitsu M. Relationship between cardioankle vascular index and components of metabolic syndrome in combination with sex and age[J].Diabetes&Metabolic Syndrome Clinical Research&Reviews,2014,8(4):242-244.
[6]王思成.中医治未病溯源、内涵与应用浅析[J].世界中医药,2008,3(1):43-45.
[7]Smith SC Jr,Greenland P,Grundy SM. AHA Conference ProceedingsPreventionconferenceVBeyondsecondary prevention:Identifying the high-risk patient for primary prevention executive summary American Heart Association[J].Circulation,2000,101(1):111-116.
[8]孙锐.颈动脉彩色超声检查在冠心病预测性诊断中的价值分析[J].中西医结合心血管病杂志,2018,6(8):42-43.
[9]周晓辉,贺春钰.颈动脉粥样硬化对冠状动脉病变的预测分析[J].中国动脉硬化杂志,2005,13(2):218-220.
[10]余飞,洪贵平,程铁牛,等.踝臂指数及肱-踝脉搏波传导速度对老年冠心病患者冠状动脉病变程度的预测价值[J].安徽医学,2018,39(1):42-45.
[11]阮锡勇.脉搏波传导速度与动脉硬化相关性研究[J].世界最新医学信息文摘,2018,18(57):70-72.
[12]宋明强,田海晔,蛭田啓之,等.心-踝血管指数与颈动脉内膜中膜厚度在动脉硬化评价中的诊断效度比较[J].中国动脉硬化杂志,2010,18(2):141-145.
[13]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[14]林谦,陈焱,金法,等.371例原发性高血压患者的中医体质辨证研究[J].现代中医药,2004,3:17-18.
[15]黄琛,莫霄云,钱海凌,等.广西壮族高血压人群中医体质分布规律及其与动脉粥样硬化的相关性[J].中医临床研究,2016,8(2):4-6.
[16]田松,赵丽娟,梁晓葳,等.500例冠心病患者中医体质分布特点及其与证候的关系[J].中国中医药信息杂志,2013,43(2):104-105.
[17]文秀华,张亮.颈动脉斑块与中医体质相关性临床观察[J].辽宁中医杂志,2014,41(1):124-126.
[18]王佩,周华,杨涛,等.原发性高血压病人中医体质与颈动脉硬化相关性的研究[J].中西医结合心脑血管病杂志,2017,15(3):267-270.
[19]宋筱靓,王帅,王凤荣.通脉降浊颗粒对动脉粥样硬化家兔脂质代谢及相关炎性因子表达的影响[J].中国中医急症,2015,24(12):2082-2086.
[20]郑娴,王凤荣.大柴胡汤对动脉粥样硬化家兔血脂及炎性因子表达的影响[J].中医杂志,2013,54(19):1681-1685.
[21]张娟,程志清.从痰瘀互结论治冠心病的研究进展[J].中华中医药学刊,2007,25(4):764-766.
[2]刘红樱,王蔚.“治未病”中医理论在动脉粥样硬化防治中的应用[J].现代中西医结合杂志,2012,21(7):745-746.
[3]杨丹丹,王凤荣.通脉降浊方联合十八段锦治疗动脉粥样硬化前期病变患者的临床观察[J].世界中西医结合杂志,2018,13(2):211-212,240.
[4]Chung S L,Yang C C,Chen C C,et al. Coronary artery calcium score compared with cardio-ankle vascular index in the prediction of cardiovascular events in asymptomatic patients with type 2diabetes[J].Journal of Atherosclerosis&Thrombosis,2015,22(12):1255-1265.
[5]Kawada T,Andou T,Fukumitsu M. Relationship between cardioankle vascular index and components of metabolic syndrome in combination with sex and age[J].Diabetes&Metabolic Syndrome Clinical Research&Reviews,2014,8(4):242-244.
[6]王思成.中医治未病溯源、内涵与应用浅析[J].世界中医药,2008,3(1):43-45.
[7]Smith SC Jr,Greenland P,Grundy SM. AHA Conference ProceedingsPreventionconferenceVBeyondsecondary prevention:Identifying the high-risk patient for primary prevention executive summary American Heart Association[J].Circulation,2000,101(1):111-116.
[8]孙锐.颈动脉彩色超声检查在冠心病预测性诊断中的价值分析[J].中西医结合心血管病杂志,2018,6(8):42-43.
[9]周晓辉,贺春钰.颈动脉粥样硬化对冠状动脉病变的预测分析[J].中国动脉硬化杂志,2005,13(2):218-220.
[10]余飞,洪贵平,程铁牛,等.踝臂指数及肱-踝脉搏波传导速度对老年冠心病患者冠状动脉病变程度的预测价值[J].安徽医学,2018,39(1):42-45.
[11]阮锡勇.脉搏波传导速度与动脉硬化相关性研究[J].世界最新医学信息文摘,2018,18(57):70-72.
[12]宋明强,田海晔,蛭田啓之,等.心-踝血管指数与颈动脉内膜中膜厚度在动脉硬化评价中的诊断效度比较[J].中国动脉硬化杂志,2010,18(2):141-145.
[13]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[14]林谦,陈焱,金法,等.371例原发性高血压患者的中医体质辨证研究[J].现代中医药,2004,3:17-18.
[15]黄琛,莫霄云,钱海凌,等.广西壮族高血压人群中医体质分布规律及其与动脉粥样硬化的相关性[J].中医临床研究,2016,8(2):4-6.
[16]田松,赵丽娟,梁晓葳,等.500例冠心病患者中医体质分布特点及其与证候的关系[J].中国中医药信息杂志,2013,43(2):104-105.
[17]文秀华,张亮.颈动脉斑块与中医体质相关性临床观察[J].辽宁中医杂志,2014,41(1):124-126.
[18]王佩,周华,杨涛,等.原发性高血压病人中医体质与颈动脉硬化相关性的研究[J].中西医结合心脑血管病杂志,2017,15(3):267-270.
[19]宋筱靓,王帅,王凤荣.通脉降浊颗粒对动脉粥样硬化家兔脂质代谢及相关炎性因子表达的影响[J].中国中医急症,2015,24(12):2082-2086.
[20]郑娴,王凤荣.大柴胡汤对动脉粥样硬化家兔血脂及炎性因子表达的影响[J].中医杂志,2013,54(19):1681-1685.
[21]张娟,程志清.从痰瘀互结论治冠心病的研究进展[J].中华中医药学刊,2007,25(4):764-766.