老年冠心病合并缺铁性贫血的中西医研究进展  

Research Progress of Traditional Chinese and Western Medicine on Elderly Coronary Heart Disease Complicated with Iron Deficiency Anemia

作　　者：李雪 陈泽涛[2] LI Xue;CHEN Zetao(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China;Department of Geriatrics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250014 [2]山东中医药大学附属医院老年医学科,山东济南250014

出　　处：《中国中医药现代远程教育》2024年第15期178-180,共3页Chinese Medicine Modern Distance Education of China

基　　金：山东省自然科学基金面上项目【No.ZR2020MH354,ZR2017LH073】。

摘　　要：冠状动脉粥样硬化性心脏病即冠心病(CHD)和缺铁性贫血(IDA)是威胁老年人健康的两种主要疾患。CHD患者常伴随着IDA,合并IDA的CHD患者临床病变更严重,且以老年人群最为明显,其5年生存率下降往往超过20%。我国CHD合并IDA的发病率较高。二者在流行病学、病因、病理等方面有许多共同点,且作用机制可相互影响,对患者预后产生不利影响。传统中医认为老年CHD和IDA多属本虚标实、虚实夹杂之证,皆与正气虚弱、脾肾虚衰关系密切。Coronary heart disease(CHD)and iron deficiency anemia(IDA)are two major diseases threatening the health of the elderly.CHD patients are often accompanied by IDA,and CHD patients with IDA have more severe clinical lesions,which are most obvious in the elderly population,and the 5-year survival rate is often reduced by more than 20%.The incidence of CHD combined with IDA is high in China.They have a lot in common in epidemiology,etiology,pathology and other aspects,and their mechanisms of action can affect each other,and have adverse effects on the prognosis of patients.Traditional Chinese medicine believes that the occurrence of CHD and IDA in the elderly is mainly due to the syndrome of deficiency,deficiency and insufficiency,which are closely related to the weakness of healthy qi and the failure of spleen and kidney.

关 键 词：胸痹 血劳 冠状动脉粥样硬化性心脏病 缺铁性贫血 老年病 综述 

分 类 号：R54[医药卫生—心血管疾病]