中医治疗多系统萎缩体位性低血压研究进展
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摘要
多系统萎缩是一组进行性的神经系统变性疾病,主要表现为自主神经功能障碍、帕金森叠加征、共济失调和锥体系功能损害,自主神经功能障碍导致的体位性低血压是多系统萎缩的常见症状,可引起昏厥、头晕、心悸等心脑血管损害,严重影响患者的生活质量和疾病预后。中医多从头晕或厥证辨病,从升阳举陷、益气滋阴、温阳健脑等方面进行辨证治疗。文章从中医病因病机、证型分析及治疗方面对多系统萎缩体位性低血压进行综述,以期对临床治疗该病有理论指导作用。
Multi-system atrophy is a group of progressive neurodegenerative diseases, mainly manifested as autonomic nervous dysfunction, Parkinson's plus syndrome, ataxia and impairments of pyramidal tract. Postural hypotension caused by autonomic nervous dysfunction is a common symptom of multi-system atrophy, which can cause cardio-cerebrovascular damage such as syncope, dizziness, palpitation, and seriously affect the quality of life and diseases of patients. Traditional Chinese medicine mostly differentiates diseases from dizziness and syncope, and differentiates and treats them from ascending yang and lifting depression, nourishing qi and yin, warming yang and strengthening brain, etc. This article reviewed the etiology,pathogenesis, syndrome type analysis and treatment of multi-system atrophic postural hypotension in order to provide theoretical guidance for clinical treatment of the disease.
Multi-system atrophy is a group of progressive neurodegenerative diseases, mainly manifested as autonomic nervous dysfunction, Parkinson's plus syndrome, ataxia and impairments of pyramidal tract. Postural hypotension caused by autonomic nervous dysfunction is a common symptom of multi-system atrophy, which can cause cardio-cerebrovascular damage such as syncope, dizziness, palpitation, and seriously affect the quality of life and diseases of patients. Traditional Chinese medicine mostly differentiates diseases from dizziness and syncope, and differentiates and treats them from ascending yang and lifting depression, nourishing qi and yin, warming yang and strengthening brain, etc. This article reviewed the etiology,pathogenesis, syndrome type analysis and treatment of multi-system atrophic postural hypotension in order to provide theoretical guidance for clinical treatment of the disease.
引文
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[5]刘莹.直立性低血压在特发性帕金森病和伴有直立性低血压的多系统萎缩患者中的临床分析以及氢质子磁共振波谱和磁共振扩散加权成像的研究.天津:天津医科大学,2005
[6]王粟实,陈路,任珊,等.温肾健脑经验方治疗多系统萎缩的临床疗效观察.中华中医药杂志,2017,32(5):2005-2010
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[8]于春霞.补中益气汤加减治疗多系统萎缩19例疗效观察.新中医,2010,42(12):57-58
[9]宋春侠,邹忆怀,王国相,等.多系统萎缩48例证候特征分析.天津中医药,2007,24(6):465-467
[10]罗银星,张影,王玉民.补肾健脾升阳法治疗Shy-Drager综合征1例.中国中医药信息杂志,2012,19(10):82-83
[11]张连城,王占奎.针刺治疗Shy-drager综合征.上海针灸杂志,2006,25(4):23-24
[12]幸冰峰,周歆.36例多系统萎缩临床特征及中医证候治疗分析.西部中医药,2012,25(3):49-51
[13]郎茂林,陈仓颉.益气温阳法治疗直立性低血压性眩晕的体会.中国中医药现代远程教育,2011,9(20):102-103
[14]李兰媛.针刺人迎穴治疗继发性体位性低血压11例.上海针灸杂志,2004,23(7):23-24
[15]王玉玲,刘军玺,张伟.中西医结合治疗多系统萎缩体位性低血压32例分析.中国药物与临床,2011,11(3):339-340
[16]杨志勇,任治坤,李佳旎,等.生脉注射液对直立性低血压疗效的短期观察.安徽医学,2012,33(9):1176-1178
[17]支惠萍.参麦注射液对多系统萎缩自主神经功能障碍改善作用研究.第九次全国神经病学学术大会论文汇编,2006:1
[18]曹于,刘志顺.电针调理髓海方法治疗多系统萎缩4例.辽宁中医杂志,2007,34(5):651-652
[2]Wenning G K,Tison F,Ben Shlomo Y,et al.Multiplesystem atrophy:A review of 203 pathologically provencases.Mov Disord,1997,12(2):133-147
[3]Kollensperger M,Geser F,Ndayisaba J P,et al.Presentation,diagnosis,and management of multiple system atrophy in Europe:Final analysis of the European multiple system atrophy registry.Mov Disord,2010,25(15):2604-2612
[4]程锋.多系统萎缩的自主神经功能障碍临床特征及直立性低血压与患病年龄的关联分析.郑州:郑州大学,2014
[5]刘莹.直立性低血压在特发性帕金森病和伴有直立性低血压的多系统萎缩患者中的临床分析以及氢质子磁共振波谱和磁共振扩散加权成像的研究.天津:天津医科大学,2005
[6]王粟实,陈路,任珊,等.温肾健脑经验方治疗多系统萎缩的临床疗效观察.中华中医药杂志,2017,32(5):2005-2010
[7]张华,高颖.滋补肝肾益气升阳法治疗多系统萎缩.辽宁中医杂志,2006,33(5):539-540
[8]于春霞.补中益气汤加减治疗多系统萎缩19例疗效观察.新中医,2010,42(12):57-58
[9]宋春侠,邹忆怀,王国相,等.多系统萎缩48例证候特征分析.天津中医药,2007,24(6):465-467
[10]罗银星,张影,王玉民.补肾健脾升阳法治疗Shy-Drager综合征1例.中国中医药信息杂志,2012,19(10):82-83
[11]张连城,王占奎.针刺治疗Shy-drager综合征.上海针灸杂志,2006,25(4):23-24
[12]幸冰峰,周歆.36例多系统萎缩临床特征及中医证候治疗分析.西部中医药,2012,25(3):49-51
[13]郎茂林,陈仓颉.益气温阳法治疗直立性低血压性眩晕的体会.中国中医药现代远程教育,2011,9(20):102-103
[14]李兰媛.针刺人迎穴治疗继发性体位性低血压11例.上海针灸杂志,2004,23(7):23-24
[15]王玉玲,刘军玺,张伟.中西医结合治疗多系统萎缩体位性低血压32例分析.中国药物与临床,2011,11(3):339-340
[16]杨志勇,任治坤,李佳旎,等.生脉注射液对直立性低血压疗效的短期观察.安徽医学,2012,33(9):1176-1178
[17]支惠萍.参麦注射液对多系统萎缩自主神经功能障碍改善作用研究.第九次全国神经病学学术大会论文汇编,2006:1
[18]曹于,刘志顺.电针调理髓海方法治疗多系统萎缩4例.辽宁中医杂志,2007,34(5):651-652