基于磁敏感加权成像技术检测急性缺血性卒中后脑微出血探讨“久病入络”理论内涵  

Theoretical connotations of"chronic diseases invading the collaterals"based on the SWI detection of cerebral microbleeds after AIS

作　　者：张元馨 刘金民[1] 王苏妹[1] 周玉嘉[1] 王文鑫 姜俊辰 张帆[1] 陈俊龙 刘佳霖[1] ZHANG Yuanxin;LIU Jinmin;WANG Sumei;ZHOU Yujia;WANG Wenxin;JIANG Junchen;ZHANG Fan;CHEN Junlong;LIU Jialin(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《吉林中医药》2024年第8期878-882,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(81774277);北京中医药大学2020年度基本科研业务费项目特色学科专项中医脑病学科(2020-tsxk-001);北京中医药大学2020年度重点攻关项目(2020-JYB-ZDGG-131);全国第七批老中医学术继承工作项目(国中医药办人教发〔2021〕272号)。

摘　　要：急性缺血性卒中后脑微出血属于中医学络病范畴,脑微出血的微血管病灶符合中医络病理论中脑络迂曲、多虚易瘀的病理特点。磁敏感加权成像技术可从影像学的角度对中医“久病入络”的现代医学理论进行阐释与补充,并且磁敏感加权成像技术可基于“久病入络”理论为急性缺血性卒中后脑微出血的诊断提供较为精确的影像学依据。因脑微出血病灶较小且脑微出血本身发病隐匿,故早期临床诊断难度较大。故结合历代医家对络病学说及“久病入络”理论的认识,从磁敏感加权成像技术的角度探讨络病学说中“久病入络”的理论,可为临床中急性缺血性卒中后脑微出血的诊断及治疗提供理论依据。Cerebral microbleeds(CMBs)after acute ischemic stroke(AIS)belong to the category of collateral diseases in traditional Chinese medicine(TCM),and the microvascular lesions of cerebral microbleeds conform to the pathological characteristics of circuity of cerebral collaterals,prevalence of deficiency and blood stasis in cerebral collaterals in the TCM collateral disease theory.Susceptibility weighted imaging(SWI)can explain and supplement the modern medical theory of"chronic diseases invading the collaterals"in traditional Chinese medicine from the perspective of imaging.Moreover,SWI can also offer a more accurate imaging basis for the diagnosis of cerebral microbleeds after acute ischemic stroke based on the theory of"chronic diseases invading the collaterals".Due to the small size of cerebral microbleeds and their hidden onset,an early clinical diagnosis is usually challenging.Therefore,based on the understanding of the theory of collateral diseases and the theory of"chronic diseases invading the collaterals"throughout the history,this paper explores the theory of"chronic diseases invading the collaterals"in the theory of collateral diseases from the perspective of magnetic susceptibility weighted imaging,aiming to provide a theoretical basis for the diagnosis and treatment of cerebral microbleeds after acute ischemic stroke in clinical practice.

关 键 词：磁敏感加权成像技术 脑微出血 久病入络 

分 类 号：R281[医药卫生—中药学]