颜乾麟治疗冠状动脉支架植入术后血管内再狭窄经验  

YAN Qianlin's Experiences in Treating Intravascular Restenosis after Percutaneous Coronary Intervention

作　　者：刘珺[1] 王博[2] 颜琼枝[1] 韩天雄[1] 夏韵[1] 颜乾麟[1] 

机构地区：[1]同济大学附属第十人民医院 [2]同济大学附属杨浦区中心医院

出　　处：《中医杂志》2017年第13期1100-1103,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目;上海市名老中医学术经验研究工作室(ZYSNXD-CCMZY024);上海市科学技术委员会科研计划(15401934700);上海市卫生和计划生育委员会中医药科研基金(2014LQ108A);上海市卫生和计划生育委员会中医药事业发展三年行动计划(ZY3-RCPY-2-2036)

摘　　要：颜乾麟认为,冠状动脉支架术后血管内再狭窄病机本质为本虚标实,本虚以气虚、阳虚居多,标实以肝郁气滞、瘀血为主。认为治疗此类患者应注意:心病治肝,重视精神心理因素在冠状动脉支架术后血管内再狭窄发生中的重要作用;术后必虚、术后必瘀,气虚常与血瘀同现;久病伤阳、心病宜温,阳虚血瘀为基本病机。在治疗用药上强调温阳药与活血药、补气药与理气药、辛温药与苦寒药同用的原则。In YAN Qianlin＇ s opinion,the pathogenesis of intravascular restenosis after percutaneous coronary intervention（ PCI） is deficiency in origin and excess in superficiality. The deficiency in origin are most Qi deficiency and Yang deficiency,while the excess in superficiality are most liver constraint and Qi stagnation and blood stasis. He thinks it＇s important to treat the liver in heart disease and we need to value the emotional factors. He considers that deficiency and stasis will certainly occur after surgery,and Qi deficiency is always along with the blood stasis. Also,Yang will be impaired during a chronic disease,heart disease needs to be treated by warming,and the basic pathogenesis is Yang deficiency and blood stasis. As for the herb using,he recommends to combine Yang-warming herbs and blood-activating herbs,Qi-tonifying herbs and Qi-regulating herbs,as well as acrid-warm herbs and bitter-cold herbs.

关 键 词：冠心病 冠状动脉支架植入术 血管内再狭窄 名医经验 颜乾麟 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]