快速性心律失常辨治概述  

Overview of Traditional Chinese Medicine Treatment of Tachyarrhythmia

作　　者：刘丽伟 张明雪[2] LIU Liwei;ZHANG Mingxue(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2021年第4期27-30,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金面上项目(81273698);国家重点研发计划(2017YFC1700401);辽宁省特聘教授滚动支持项目(辽教函[2018]35)。

摘　　要：快速性心律失常是临床上常见的心血管病症,包括过早搏动、心动过速、扑动和颤动等,严重快速性心律失常可影响心脏泵血功能,诱发或使心功能不全加重,甚至导致死亡。现代医学主要以控制心率的药物、心脏射频消融术或植入埋藏式自动心脏复律除颤器等治疗快速性心律失常,但仍具有抗治疗药物的负性肌力作用、肝肾损伤、不同程度诱发其他心律失常以及手术治疗复发率高等不足,通过辨证论治,应用古方治疗快速性心律失常取得了令人满意的效果。通过查阅近10年有关古方治疗快速性心律失常的文献资料,从古方出处、临床疗效、现代药理研究等方面进行概述。Tachyarrhythmia is a common clinical cardiovascular disease,including premature beats,tachycardia,flutter and fibrillation,etc.Severe tachyarrhythmias can affect the pumping function of the heart,induce or aggravate cardiac insufficiency,and even lead to death.Modern medicine mainly treats tachyarrhythmias with drugs to control heart rate,radiofrequency ablation of the heart,or implantation of embedded automatic cardioversion defibrillators,but it still has the negative inotropic effect of anti-therapeutic drugs,liver and kidneyinjuryand different degrees of induction of other arrhythmias and high recurrence rate of surgical treatment.Through TCM syndrome differentiation and treatment,the application of ancient prescriptions for tachyarrhythmia has achieved satisfactory results.By consulting the literature about ancient prescriptions for the treatment of tachyarrhythmia in the past 10 years,it summarized the sources of ancient prescriptions,clinical efficacyand modern pharmacological research.

关 键 词：快速性心律失常 肝肾损伤 小檗碱 细胞膜电位 中医药 辨证论治 综述 

分 类 号：R259[医药卫生—中西医结合]