中医联合心脏康复对稳定性冠心病运动心肺功能及生活质量改善的研究进展  

Research progress of traditional Chinese medicine combined with cardiac rehabilitation on the improvement of exercise cardiopulmonary function and quality of life in stable coronary artery diseases

作　　者：倪皓轩 苏殷婷 胡晓贞 娄灵芝 张海珍 陈兆善 NI Hao-xuan;SU Yin-ting;HU Xiao-zhen(Department of Cardiology,Shanghai Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海市中医药大学附属市中医医院心内科,200071 [2]上海市静安区彭浦镇第二社区卫生服务中心西医全科,200070

出　　处：《中国实用医药》2024年第12期171-174,共4页China Practical Medicine

基　　金：上海市科技计划项目(项目编号:21Y11920700),项目名称:温阳活血方联合八段锦心脏康复对稳定性冠心病患者运动心肺功能及生活质量改善的临床研究。

摘　　要：冠心病(CHD)是因冠状动脉粥样硬化以致心肌缺血缺氧的一种心血管类疾病,常见于40岁以上中老年人群,表现为胸闷、胸痛、出汗等主要临床症状,严重可导致心力衰竭、低血压,甚至休克。我国CHD发病率逐年上升,随着CHD治疗技术日新月异,死亡率仍居高不下,严重威胁着我国居民身心健康。药物、手术等治疗手段虽然能改善患者临床症状,但治疗靶点单一,易产生耐药性。CHD在中医学中被划分为“胸痹心痛”、“真心痛”、“厥心痛”等范畴,中医在治疗CHD方面历史悠久,从动静结合,天人合一的整体出发,有效提升疗效,改善临床症状与生活质量,受到国内患者的广泛认可。因此,本文旨在通过心脏康复及中医现状阐述治疗稳定性冠心病(SCAD)患者的研究进展,为SCAD患者今后临床治疗提供一定参考。Coronary heart disease(CHD)is a cardiovascular disease caused by myocardial ischemia and hypoxia due to coronary atherosclerosis.It is commonly seen in the middle-aged and elderly people over 40 years old,and is manifested as chest tightness,chest pain,sweating and other main clinical symptoms,which can lead to heart failure,hypotension,and even shock.The incidence of CHD in China is increasing year by year.With the rapid change of the treatment technology of CHD,the mortality rate still takes the lead,which seriously threatens the physical and mental health of Chinese residents.Although drugs,surgery and other treatments can relieve the clinical symptoms of patients and reduce the pain,but the treatment target is single and easy to produce drug resistance.In traditional Chinese medicine,CHD is divided into"chest stuffiness and pains","True Heart Pain","Jue Xin Tong"and other categories.Traditional Chinese medicine has a long history in the treatment of CHD.Starting from the raditional of Chinese medicine combines movement and stillness,integrating heaven and man,it effectively improves the curative effect and clinical symptoms and quality of life,which has been widely recognized by domestic patients.Therefore,this paper aims to explain the research progress of treating stable coronary artery diseases(SCAD)patients through the current situation of cardiac rehabilitation and traditional Chinese medicine,so as to provide some reference for the future clinical treatment of SCAD patients.

关 键 词：稳定性冠心病 心脏康复 中医治疗 研究进展 

分 类 号：R541.4[医药卫生—心血管疾病]