益气活血法治疗急性心肌梗死及并发症研究进展  

Research Progress in the Treatment of Acute Myocardial Infarction and Improvement of Complicationswith Tonifying Qi and Promoting Blood Circulation Method

作　　者：白栋汉 谭雨晴 李军[1] 郑超楠 张乐松 BAI Donghan;TAN Yuqing;LI Jun;ZHENG Chaonan;ZHANG Lesong(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学研究生院,北京100029

出　　处：《中国中医药图书情报杂志》2024年第2期254-259,共6页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基　　金：国家自然科学基金(81973836);首都卫生发展科研专项重点攻关项目(2020-1-4151);中国中医科学院研发专项课题(ZZ15-XY-CT-08)。

摘　　要：气虚血瘀证为急性心肌梗死的常见证型,益气活血法作为急性心肌梗死的主要治法之一,常用于治疗急性心肌梗死后不同并发症如心绞痛、经皮冠脉介入治疗术后再狭窄、心室重构及心力衰竭等,临床效果显著。本文对益气活血法通过抑制炎症水平、改善心肌细胞凋亡与自噬、影响心肌纤维化及促进血管新生等方面治疗急性心肌梗死气虚血瘀证的作用机制进行综述,以期为益气活血法治疗急性心肌梗死气虚血瘀证的科学性与有效性提供理论参考。Qi-deficiency and blood-stasis syndrome is a common syndrome of acute myocardial infarction.As one of the main treatments for myocardial infarction,the method of tonifying qi and promoting blood circulation can be applied at different complications after myocardial infarction,such as angina pectoris after myocardial infarction,restenosis after PCI,ventricular remodeling and heart failure after myocardial infarction,with remarkable clinical efficacy.This article reviewed the mechanism of the treatment of myocardial infarction with qi-deficiency and bloodstasis syndrome through inhibiting the level of inflammation,improving myocardial apoptosis and autophagy,affecting myocardial fibrosis and promoting angiogenesis,in order to provide theoretical basis for the scientific and effective treatment of myocardial infarction with qi-deficiency and blood-stasis syndrome.

关 键 词：益气活血法 急性心肌梗死 并发症 气虚血瘀证 综述 

分 类 号：R259.422.2[医药卫生—中西医结合]