经皮冠状动脉介入术后主要并发症中医证候学研究进展  

Development of Traditional Chinese Medicine Syndrome Researches about Major Complications after Percutaneous Coronary Intervention

作　　者：孔晓琳 刘冠男 高丽霓 张辰浩[1] Kong Xiaolin;Liu Guannan;Gao Lini;Zhang Chenhao(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《世界中医药》2018年第12期3251-3254,共4页World Chinese Medicine

基　　金：2017年望京医院院级重点课题(WJYY2016-ZD-004)--"我院冠心病介入治疗回顾性分析及术后并发症中医证候相关性研究"

摘　　要：经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后主要并发症包括支架血栓形成、消化道出血、对比剂肾病、PCI术后焦虑/抑郁、无复流等,本文对近10年上述主要并发症的证候学研究进行整理和分析,总结归纳其中的规律性特征。PCI术后支架血栓形成临床多见气虚血瘀或痰瘀,蕴结成毒;消化道出血中医证候多见气虚血瘀或痰瘀;对比剂肾病临床证候多见湿热蕴结、瘀血内阻和正气亏虚; PCI术后焦虑/抑郁中医证候为肝气郁结伴有气虚血瘀;无复流中医证候多见气滞血瘀、痰瘀交阻、阳虚血凝、毒滞瘀结,其本质为本虚标实。参照上述中医证候学特征,为有效防止PCI术后并发症提供一定的中医证候学支持。The main complications after PCI(percutaneous coronary intervention)contain stent thrombosis,hemorrhage of digestive tract,contrast-induced nephropathy,anxiety and depression after PCI,no-reflow etc.In this paper,syndrome studies of the above main complications in recent 10 years were summarized and analyzed,and the regularity characteristics were summarized.The main pathogenesis of stent thrombosis after PCI is qi deficiency,blood stasis or phlegm turbidity and accumulation of poisons;the main TCM(traditional Chinese medicine)pathogenesis of hemorrhage of digestive tract is qi deficiency and blood stasis or phlegm turbidity;the main TCM pathogenesis of contrast-induced nephropathy is damp and heat accumulation,blood stasis,the deficiency of qi;the main TCM pathogenesis of anxiety and depression after PCI is liver qi stagnation accompanied with qi deficiency and blood stasis;the main TCM pathogenesis of no-reflow is qi stagnation and blood stasis,phlegm-stasis stagnation,yang deficiency and blood stasis,poison and blood stasis,of which the essence is deficiency in origin and excess in superficiality.According to the characteristics of TCM syndromes mentioned above,it provides TCM syndrome support for the effective prevention of complications after PCI.

关 键 词：经皮冠状动脉介入术 并发症 支架血栓形成 消化道出血 对比剂肾病 PCI术后焦虑/抑郁 无复流 中医证候 综述 

分 类 号：R2-03[医药卫生—中医学] R541.4