基于“阳化气,阴成形”理论探讨急性心肌梗死PCI术后再狭窄的防治思路  

Approach to prevention and treatment of ISR after PCI for acute myocardial infarction based on the theory of“yang transforming qi and yin forming structure”

作　　者：朱圣华 严萍[1] ZHU Sheng-hua;YAN Ping(The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China)

机构地区：[1]福建中医药大学附属第二人民医院,福州350003

出　　处：《山西中医》2023年第11期1-4,共4页Shanxi Journal of Traditional Chinese Medicine

摘　　要：从“阳化气,阴成形”平衡失调认识急性心肌梗死患者经皮冠状动脉介入治疗后发生支架内再狭窄的病理状态,结合文献研究认为“阳化气”不足是其病理基础,“阴成形”不足是其发病条件,“阴成形”太过是疾病进展的重要环节。提出“温、养、通”防治三法,可为临床急性心肌梗死经皮冠状动脉介入治疗后防治支架内再狭窄拓宽思路。The pathological state of in-stent restenosis(ISR)after percutaneous coronary intervention(PCI)for acute myocardial infarction is approached by the theory of imbalance of"yang transforming qi and yin forming structure".Combined with the study on relevant literatures,it is believed that the insufficiency of"yang transforms qi"is the pathological basis,while the insufficiency of"yin forming structure"is the pathogenic condition,and the excess of"yin forming structure"is the important factor of progression of the disease.Three methods of"warming,nourishing and circulating"for prevention and treatment are initially put forward,which can broaden the ideas for clinical prevention and treatment of in-stent restenosis after percutaneous coronary intervention for acute myocardial infarction.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 支架内再狭窄 中医药疗法 

分 类 号：R542.22[医药卫生—心血管疾病]