冠心病“双心”异常的中医治疗研究进展
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摘要
冠心病伴情绪障碍的"双心"异常日益受到重视,西医治疗使用心血管科药物联合抗焦虑抑郁药物,病人依从性低且死亡等硬终点事件并无显著改善,中医在冠心病"双心"异常领域逐渐显示出独特优势。从中医药物治疗和非药物特色疗法两方面,总结多位学者对本病的认识及特色辨治经验,以期在"社会-心理-生物医学模式"指导下,为本病的中医治疗及研究提供新思路。
引文
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[3] EMDIN C A,ODUTAYO A,WONG C X,et al.Meta-analysis of anxiety as a risk factor for cardiovascular disease[J].American Journal of Cardiology,2016,118(4):511-519.
[4] WU Q,KLING J M.Depression and the risk of myocardial infarction and coronary death:a meta-analysis of prospective cohort studies[J].Medicine,2016,95(6):2815.
[5] 中国康复学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.在心血管科就诊患者的心理处方中国专家共识[J].中华心血管病杂志,2014,42(1):6-13.
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[8] 郭明冬,翁维良.翁维良“双心”同调治疗老年冠心病经验[J].中医药通报,2015,14(2):18-20.
[9] 王超,王昀,赵海滨.从中医“双心学说”探析冠心病合并焦虑的论治思路[J].环球中医药,2016,9(12):1476-1478.
[10] 王昀,王超,燕莎莎,等.从“双心”探析柴胡加龙骨牡蛎颗粒对冠心病合并焦虑状态的临床研究[J].环球中医药,2017,10(8):825-830.
[11] 袁蓉,何庆勇.从“双心同调”论治冠心病心绞痛[J].中华中医药杂志,2015,30(6):1901-1903.
[12] 陈韬,姚祖培.姚祖培教授辨治“双心”疾病经验[J].中医药通报,2014,13(1):35-36.
[13] 彭金祥,姚祖培.双心汤治疗稳定型冠心病合并抑郁或焦虑临床观察[J].山西中医,2014,30(11):14-16.
[14] 段文慧,史大卓.疏肝解郁论治双心疾病[J].世界中医药,2013,8(12):1381-1383.
[15] 宋旸,张艳.从肝论治“双心疾病”临床体会[J].辽宁中医药大学学报,2015,17(4):160-162.
[16] 孙媛.心可舒片治疗气滞血瘀型双心疾病患者的疗效观察[J].中西医结合心脑血管病杂志,2013,11(6):677.
[17] 何鑫,姚方方,周雨,等.逍遥散在冠心病康复双心医学治疗中运用[J].中医药临床杂志,2017(12):2053-2054.
[18] SOFI F,CESARI F,CASINI A,et al.Insomnia and risk of cardiovascular disease:a meta-analysis[J].Eur J Prev Cardiol,2014,21(1):57-64.
[19] 袁蓉,王阶,郭丽丽.睡眠剥夺对冠心病的影响及中医药防治进展[J].中国中药杂志,2015,40(9):1666-1669.
[20] 王文慧,张萍,徐凤芹.徐凤芹教授治疗双心疾病的临床经验[J].中西医结合心脑血管病杂志,2016,14(5):555-557.
[21] 冯而标,黄瑞聪.归脾汤加减治疗抑郁相关性失眠的临床观察[J].中医临床研究,2014,6(21):18-20.
[22] 史大卓.名医临证经验丛书·心脑血管病[M].北京:人民卫生出版社,2002:241-351.
[23] STAUB D,PATEL M B,TIBREWALA A,et al.Vasa vasorum and plaque neovascularization on contrast-enhanced carotid ultrasound imaging correlates with cardiovascular disease and past cardiovascular events[J].Stroke,2010,41(1):41-47.
[24] 袁慎洋,周良柱,蒋克浩,等.柴胡桂枝汤治疗双心疾病30例[J].河南中医,2017,37(8):1335-1337.
[25] 周欢,张军平.从“疏肝气,调营卫”角度探讨柴胡桂枝汤治疗冠心病的用义与内涵[J].中华中医药学刊,2017(5):1170-1173.
[26] 张金龙.柴胡桂枝汤双心同治法治疗冠心病36例临床观察[J].云南中医中药杂志,2017,38(10):55-57.
[27] 李梦頔,黄世敬.培元通滞法治疗双心疾病探讨[J].中医学报,2018,33(1):80-83.
[28] 王萌.邓悦教授运用养心汤加减治疗“双心”疾病[J].吉林中医药,2013,33(6):553-554.
[29] 王帅,王凤荣.基于“木壅土郁”探讨通脉降浊方对双心疾病临证体会[J].辽宁中医药大学学报,2017,19(2):142-144.
[30] 刘江亮.温胆片治疗痰浊型冠心病伴焦虑状态的临床观察[D].广州:广州中医药大学,2016.
[31] 刘俊杰,肖长江,李姿蓉,等.基于“和法”探讨中医治疗“双心”疾病思路[J].辽宁中医杂志,2016,43(11):2295-2297.
[32] 李海艳,辛亚然,刘景璐,等.穴位按摩联合五音疗法治疗双心失眠患者临床效果观察[J].辽宁中医药大学学报,2017,19(6):180-183.
[33] 黄慈辉,蒋凯林,庄振杰,等.太极拳预防冠心病的研究进展[J].中西医结合心脑血管病杂志,2018,16(2):176-178.
[34] 杨婧,周旭升,张捷.浅谈针灸在双心医学中的应用[J].时珍国医国药,2015,26(2):421-422.
[35] 孙静.针刺疗法治疗冠心病患者焦虑抑郁状态的疗效观察[D].北京:北京中医药大学,2007.
[36] 殷建明,罗陆一,张大创,等.通心贴穴位外治冠心病心绞痛临床研究[J].中西医结合心脑血管病杂志,2009,7(10):1138-1140.
[37] 王玉梅,王秋云,张静,等.穴位按压与药物急救对冠心病心绞痛效应差异观察[J].中国针灸,2011,31(7):595-598.
[2] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[3] EMDIN C A,ODUTAYO A,WONG C X,et al.Meta-analysis of anxiety as a risk factor for cardiovascular disease[J].American Journal of Cardiology,2016,118(4):511-519.
[4] WU Q,KLING J M.Depression and the risk of myocardial infarction and coronary death:a meta-analysis of prospective cohort studies[J].Medicine,2016,95(6):2815.
[5] 中国康复学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.在心血管科就诊患者的心理处方中国专家共识[J].中华心血管病杂志,2014,42(1):6-13.
[6] HANASH J A,HANSEN B H,HANSEN J F,et al.Cardiovascular safety of one-year escitalopram therapy in clinically nondepressed patients with acute coronary syndrome:results from the depression in patients with coronary artery disease (DECARD) trial[J].J Cardiovasc Pharmacol,2012,60(4):397-405.
[7] HABRA M E,BAKER B,FRASURE-SMITH N.First episode of major depressive disorder and vascular factors in coronary artery disease patients:baseline characteristics and response to antidepressant treatment in the CREATE trial[J].J Psychosom Res,2010,69(2):133-141.
[8] 郭明冬,翁维良.翁维良“双心”同调治疗老年冠心病经验[J].中医药通报,2015,14(2):18-20.
[9] 王超,王昀,赵海滨.从中医“双心学说”探析冠心病合并焦虑的论治思路[J].环球中医药,2016,9(12):1476-1478.
[10] 王昀,王超,燕莎莎,等.从“双心”探析柴胡加龙骨牡蛎颗粒对冠心病合并焦虑状态的临床研究[J].环球中医药,2017,10(8):825-830.
[11] 袁蓉,何庆勇.从“双心同调”论治冠心病心绞痛[J].中华中医药杂志,2015,30(6):1901-1903.
[12] 陈韬,姚祖培.姚祖培教授辨治“双心”疾病经验[J].中医药通报,2014,13(1):35-36.
[13] 彭金祥,姚祖培.双心汤治疗稳定型冠心病合并抑郁或焦虑临床观察[J].山西中医,2014,30(11):14-16.
[14] 段文慧,史大卓.疏肝解郁论治双心疾病[J].世界中医药,2013,8(12):1381-1383.
[15] 宋旸,张艳.从肝论治“双心疾病”临床体会[J].辽宁中医药大学学报,2015,17(4):160-162.
[16] 孙媛.心可舒片治疗气滞血瘀型双心疾病患者的疗效观察[J].中西医结合心脑血管病杂志,2013,11(6):677.
[17] 何鑫,姚方方,周雨,等.逍遥散在冠心病康复双心医学治疗中运用[J].中医药临床杂志,2017(12):2053-2054.
[18] SOFI F,CESARI F,CASINI A,et al.Insomnia and risk of cardiovascular disease:a meta-analysis[J].Eur J Prev Cardiol,2014,21(1):57-64.
[19] 袁蓉,王阶,郭丽丽.睡眠剥夺对冠心病的影响及中医药防治进展[J].中国中药杂志,2015,40(9):1666-1669.
[20] 王文慧,张萍,徐凤芹.徐凤芹教授治疗双心疾病的临床经验[J].中西医结合心脑血管病杂志,2016,14(5):555-557.
[21] 冯而标,黄瑞聪.归脾汤加减治疗抑郁相关性失眠的临床观察[J].中医临床研究,2014,6(21):18-20.
[22] 史大卓.名医临证经验丛书·心脑血管病[M].北京:人民卫生出版社,2002:241-351.
[23] STAUB D,PATEL M B,TIBREWALA A,et al.Vasa vasorum and plaque neovascularization on contrast-enhanced carotid ultrasound imaging correlates with cardiovascular disease and past cardiovascular events[J].Stroke,2010,41(1):41-47.
[24] 袁慎洋,周良柱,蒋克浩,等.柴胡桂枝汤治疗双心疾病30例[J].河南中医,2017,37(8):1335-1337.
[25] 周欢,张军平.从“疏肝气,调营卫”角度探讨柴胡桂枝汤治疗冠心病的用义与内涵[J].中华中医药学刊,2017(5):1170-1173.
[26] 张金龙.柴胡桂枝汤双心同治法治疗冠心病36例临床观察[J].云南中医中药杂志,2017,38(10):55-57.
[27] 李梦頔,黄世敬.培元通滞法治疗双心疾病探讨[J].中医学报,2018,33(1):80-83.
[28] 王萌.邓悦教授运用养心汤加减治疗“双心”疾病[J].吉林中医药,2013,33(6):553-554.
[29] 王帅,王凤荣.基于“木壅土郁”探讨通脉降浊方对双心疾病临证体会[J].辽宁中医药大学学报,2017,19(2):142-144.
[30] 刘江亮.温胆片治疗痰浊型冠心病伴焦虑状态的临床观察[D].广州:广州中医药大学,2016.
[31] 刘俊杰,肖长江,李姿蓉,等.基于“和法”探讨中医治疗“双心”疾病思路[J].辽宁中医杂志,2016,43(11):2295-2297.
[32] 李海艳,辛亚然,刘景璐,等.穴位按摩联合五音疗法治疗双心失眠患者临床效果观察[J].辽宁中医药大学学报,2017,19(6):180-183.
[33] 黄慈辉,蒋凯林,庄振杰,等.太极拳预防冠心病的研究进展[J].中西医结合心脑血管病杂志,2018,16(2):176-178.
[34] 杨婧,周旭升,张捷.浅谈针灸在双心医学中的应用[J].时珍国医国药,2015,26(2):421-422.
[35] 孙静.针刺疗法治疗冠心病患者焦虑抑郁状态的疗效观察[D].北京:北京中医药大学,2007.
[36] 殷建明,罗陆一,张大创,等.通心贴穴位外治冠心病心绞痛临床研究[J].中西医结合心脑血管病杂志,2009,7(10):1138-1140.
[37] 王玉梅,王秋云,张静,等.穴位按压与药物急救对冠心病心绞痛效应差异观察[J].中国针灸,2011,31(7):595-598.