冠状动脉心肌桥的中医综合慢病管理模式探析  

Chronic Disease Management Model of Myocardial Briding of Mural Coronary Artery with Comprehensive Traditional Chinese Medicine Therapies

作　　者：张笑霄 周思敏 谭猛 李彩英 姚魁武[1,2] ZHANG Xiaoxiao;ZHOU Simin;TAN Meng;LI Caiying;YAO Kuiwu(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053;Eye Hospital,China Academy of Chinese Medical Sciences)

机构地区：[1]中国中医科学院广安门医院,北京市100053 [2]中国中医科学院眼科医院

出　　处：《中医杂志》2022年第7期612-617,共6页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81873173);国家重点研发计划(2019YFC1708703)。

摘　　要：冠状动脉心肌桥可导致心绞痛症状反复发作,甚至诱发心肌梗死、心脏骤停等严重不良心血管事件,往往需要长期、连续的疾病管理。在回顾冠状动脉心肌桥相关研究的基础上,深入分析中医学关于心肌桥的辨治思路与慢病管理优势,提出将其归属于中医学“胸痹心痛”论治,并首先参照中医胸痹心痛对心肌桥进行疾病分期,再以气血辨证为核心采用多种中医适宜技术进行综合干预,最终实现医患合作的疾病管理,从而构建心肌桥的中医综合慢病管理模式,为心肌桥的慢病管理提供参考。The myocardial briding of mural coronary artery(MB-MCA)can lead to repeated episodes of angina and may even induce serious adverse cardiovascular events such as myocardial infarction and cardiac arrest,for which often long-term and continuous disease management is needed.This paper reviewed the researches on MB-MCA,explored the syndrome differentiation and treatment ideas of MB-MCA in traditional Chinese medicine(TCM),and discussed the advantages of chronic disease management.It is proposed that MB-MCA belongs to the category of“chest bi(痹)and heart pain”in TCM.In clinical practice,the stage of MB-MCA should be determined first by referring to the characteristics of“chest bi(痹)and heart pain”.Based on the theory of qi-blood pattern differentiation,a comprehensive treatment including multiple TCM techniques is then implemented,to ultimately achieve doctor-patient shared disease management and to develop the management model of MB-MCA with comprehensive TCM therapies,all of which provides reference for management of MB-MCA.

关 键 词：心肌桥 胸痹心痛 气血辨证 慢病管理 疾病管理模式 

分 类 号：R259[医药卫生—中西医结合]