充血性心力衰竭气虚血瘀证治疗的研究进展
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摘要
充血性心力衰竭目前已成为最重要的公共卫生问题之一,发病率高,预后差,病死率高。目前西医手术、介入治疗的适应证很少,西药治疗充血性心力衰竭研究较多,但仍不能取得理想疗效。近年来中医中药治疗充血性心力衰竭逐渐受到重视。目前对充血性心力衰竭中医证候研究尚不完全统一,临床缺乏标准的证候判定方法,因而准确地辨证论治、因证施药成为中医中药治疗充血性心力衰竭的挑战,充分了解中医充血性心力衰竭的证候学特点,尤其是对于作为诸多分型中最为常见的气虚血瘀证特点的研究已成为准确辨证论治的重中之重,这对于今后指导临床干预,提高中医治疗充血性心力衰竭的疗效具有重要意义。
Congestive heart failure has become one of the most important public health problems,which has high incidence,poor prognosis,high mortality rate.Indications of the current Western medicine surgery and interventional therapy are rarely.There are a lot of reports concerning with that western medicine treatment of congestive heart failure in clinical practices,but the treating effects are not ideal.In recent years,traditional Chinese medicine treatment of congestive heart failure has been gradually paid great attention.At present,the study of TCM syndromes of congestive heart failure is not yet completely unified,with the lack of standard syndromes determination method in the clinical research,and thus accurate syndrome differentiation,the application of traditional Chinese medicine become the challenge of treatment of congestive heart failure.Only the congestion heart failure of Chinese medicine definition,etiology and pathogenesis,syndrome classification are fully understood,can accurate syndrome differentiation become possible,and have an good effect on congestive heart failure in the treatment of traditional Chinese medicine.The study of TCM characteristics of patients with congestive heart failure,especially characteristics of blood stasis syndrome due to qi deficiency,as one of the most common types,has become the most important for accurate syndrome differentiation and treatment,which is also of great significance to guide clinical intervention,improve the efficacy of Chinese medicine treatment of congestive heart failure.
Congestive heart failure has become one of the most important public health problems,which has high incidence,poor prognosis,high mortality rate.Indications of the current Western medicine surgery and interventional therapy are rarely.There are a lot of reports concerning with that western medicine treatment of congestive heart failure in clinical practices,but the treating effects are not ideal.In recent years,traditional Chinese medicine treatment of congestive heart failure has been gradually paid great attention.At present,the study of TCM syndromes of congestive heart failure is not yet completely unified,with the lack of standard syndromes determination method in the clinical research,and thus accurate syndrome differentiation,the application of traditional Chinese medicine become the challenge of treatment of congestive heart failure.Only the congestion heart failure of Chinese medicine definition,etiology and pathogenesis,syndrome classification are fully understood,can accurate syndrome differentiation become possible,and have an good effect on congestive heart failure in the treatment of traditional Chinese medicine.The study of TCM characteristics of patients with congestive heart failure,especially characteristics of blood stasis syndrome due to qi deficiency,as one of the most common types,has become the most important for accurate syndrome differentiation and treatment,which is also of great significance to guide clinical intervention,improve the efficacy of Chinese medicine treatment of congestive heart failure.
引文
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[15]李小茜,刘伟,何建成,等.充血性心力衰竭中医证侯量表的信度和效度评价[J].中医杂志,2015,56(7):594-597.DOI:10.13288/j.11-2166/r.2015.07.015.
[16]王艳飞,任越,曹雪滨,等.充血性心力衰竭患者临床资料中医证候量表的评价[J].西部中医药,2015,28(12):68-70.
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[19]王恒和,程刚,刘兴磊.慢性心力衰竭中医辨证分型与患者心功能及生存质量的关系[J].山东医药,2015,55(34):52-53.DOI:10.3969/j.issn.1002-266X.2015.34.022.
[20]刘亚宁,马艳梅,许新.老年慢性心力衰竭患者心功能指标与中医辨证的关系[J].现代中西医结合杂志,2016,25(25):2834-2836.DOI:10.3969/j.issn.1008-8849.2016.25.035.
[21]孟媛,毛秉豫,韦汉文.西医辨病与中医辨证相结合的慢性心衰辨证论治[J].浙江中医药大学学报,2017,41(6):474-477.DOI:10.16466/j.issn1005-5509.2017.06.006.
[22]杜柏,胡元会,刘瑞华,等.心复康口服液的药效学研究进展[J].中西医结合心脑血管病杂志,2012,10(8):985-986.
[23]郭辉,曹雪滨,黄河玲,等.心复康口服液质量的评价[J].中国中西医结合急救杂志,2011,18(1):14-17.
[24]曹雪滨,王士雯,黄河玲,等.心复康治疗充血心力衰竭41例[J].陕西中医,2000,21(2):56-57.
[25]孙灿朝,高嵩山.保元汤合桃红四物汤加减治疗心衰病气虚血瘀型临床观察[J].中医临床研究,2014,6(17):62-63.
[26]张立兴.探讨中医辩证方案治疗心力衰竭的临床体会[J].内蒙古中医药,2016(13):99.DOI:10.16040/j.cnki.cn15-1101.2016.13.099.
[2]唐咏,侯乐,李辉,等.慢性心衰气虚血瘀证的研究进展[J].重庆医学,2016,45(30):4290-4293.
[3]郑莜萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:84-85.
[4]金玲.中西医结合治疗慢性心力衰竭75例[J].山东中医杂志,2008,27(11):764.
[5]李立志.陈可冀治疗充血性心力衰竭经验[J].中西医结合心脑血管病杂志,2006,4(2):136-138.
[6]曹雪滨,浦斌红,胡元会.充血性心力衰竭的中医辨证分型特点[J].甘肃中医学院学报,1999,16(3):13-16.
[7]范爱平.李介鸣治疗心力衰竭经验拾粹[J].北京中医,1995(1):6-8.
[8]严萍,黄飞翔,林求诚,等.脑钠素与充血性心力衰竭中医辨证分型的关系[J].中西医结合心脑血管病杂志,2007,5(5):380.
[9]李小茜,何建成,黄品贤,等.基于数据挖掘技术的充血性心力衰竭常见中医证候分析的多中心研究[J].中国中西医结合急救杂志,2015,22(4):337-341.
[10]杨丽华,杨戈,马春.充血性心力衰竭中医证候研究进展[J].中医老年学杂志,2006(5):719-721.
[11]杨麦广,曹雪滨.充血性心力衰竭中医证型客观化指标的研究进展[J].现代中西医结合杂志,2011,20(10):1286-1288.
[12]曹雪滨,胡元会,王士雯.充血性心力衰竭的中医辨证分型与血管活性肽的关系[J].辽宁中医杂志,1999,26(10):457-459.
[13]贾恩霞,曹雪滨,马民凯.NT-pro BNP浓度、肺动脉压力与慢性肺源性心脏病心力衰竭的中医证型相关性研究[J].医学研究与教育,2015,32(1):48-50.DOI:10.3969/j.issn.1674-490X.2015.01.011.
[14]杨艳玲,曹雪滨,解亚楠,等.缺血性心肌病心力衰竭气虚血瘀证患者特异性血清标志物研究[J].中医杂志,2014,55(7):567-570.
[15]李小茜,刘伟,何建成,等.充血性心力衰竭中医证侯量表的信度和效度评价[J].中医杂志,2015,56(7):594-597.DOI:10.13288/j.11-2166/r.2015.07.015.
[16]王艳飞,任越,曹雪滨,等.充血性心力衰竭患者临床资料中医证候量表的评价[J].西部中医药,2015,28(12):68-70.
[17]RIEGEL B,MOSER D K,GLASER D,et al.The minnesota living with heart failure questionnaire:sensitivity to intervention intensity in a clinical population[J].Nurs Ras,2002,51(4):209-218.
[18]MIDDEL B,BOUMA J,DE JONGSTE M,et al.Psychometric properties of the Minnesota Living with Heart Failure Questionnaire(MLHF-Q)[J].Clin Rehbil,2001,15(5):489-500.
[19]王恒和,程刚,刘兴磊.慢性心力衰竭中医辨证分型与患者心功能及生存质量的关系[J].山东医药,2015,55(34):52-53.DOI:10.3969/j.issn.1002-266X.2015.34.022.
[20]刘亚宁,马艳梅,许新.老年慢性心力衰竭患者心功能指标与中医辨证的关系[J].现代中西医结合杂志,2016,25(25):2834-2836.DOI:10.3969/j.issn.1008-8849.2016.25.035.
[21]孟媛,毛秉豫,韦汉文.西医辨病与中医辨证相结合的慢性心衰辨证论治[J].浙江中医药大学学报,2017,41(6):474-477.DOI:10.16466/j.issn1005-5509.2017.06.006.
[22]杜柏,胡元会,刘瑞华,等.心复康口服液的药效学研究进展[J].中西医结合心脑血管病杂志,2012,10(8):985-986.
[23]郭辉,曹雪滨,黄河玲,等.心复康口服液质量的评价[J].中国中西医结合急救杂志,2011,18(1):14-17.
[24]曹雪滨,王士雯,黄河玲,等.心复康治疗充血心力衰竭41例[J].陕西中医,2000,21(2):56-57.
[25]孙灿朝,高嵩山.保元汤合桃红四物汤加减治疗心衰病气虚血瘀型临床观察[J].中医临床研究,2014,6(17):62-63.
[26]张立兴.探讨中医辩证方案治疗心力衰竭的临床体会[J].内蒙古中医药,2016(13):99.DOI:10.16040/j.cnki.cn15-1101.2016.13.099.