郭维琴教授从“毒、瘀、虚”论治经皮冠状动脉介入治疗术后胸痛  

Professor Guo Weiqin’s academic thought in treating chest pain after percutaneous coronary intervention from the perspective of“toxin,stasis and deficiency”

作　　者：王志淼 朱海燕[1] 赵勇[1] 梁晋普[1] 孟伟[1] 高瑜倩 张冬梅[1] WANG Zhimiao;ZHU Haiyan;ZHAO Yong;LIANG Jinpu;MENG Wei;GAO Yuqian;ZHANG Dongmei(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学

出　　处：《现代中医临床》2023年第4期38-41,共4页Modern Chinese Clinical Medicine

基　　金：国家重点研发计划项目(No.2018YFC1704100);北京中医药“薪火传承3+3工程”室站建设项目(No.2011-SZ-C-33);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(No.405120112)。

摘　　要：经皮冠状动脉介入治疗(PCI)是临床治疗冠心病的常用手段,但术后患者易出现胸痛等不适,尚未得到有效解决。郭维琴教授对于PCI术后胸痛的诊治有独到见解,认为“毒”“瘀”“虚”是冠脉介入术后胸痛的关键病机,据此创新性地提出了分期防治的观点。治疗上以益气活血法贯穿始终,术后早期以清热解毒为主,中期重视活血化瘀,后期不忘补益正气,临床疗效显著。Percutaneous coronary intervention(PCI)is a common method for clinical treatment of coronary heart disease,but patients are prone to postoperative chest pain and other types of discomfort,for which there are currently no effective measures.Professor Guo Weiqin has developed unique insights into the diagnosis and treatment of chest pain after PCI.She believes that toxin,stasis and deficiency are the key contributing factors of the pain,and,based on this theory,proposed an innovative way of staged prevention and treatment.The method of boosting qi and invigorating blood is used throughout the treatment,with special focus placed on clearing heat and removing toxins in the early stage after operation,activating blood and removing stasis in the middle,and supplementing and invigorating healthy qi in the later stage.

关 键 词：经皮冠状动脉介入治疗术后 胸痛 名医经验 郭维琴 

分 类 号：R259[医药卫生—中西医结合]