基于缺氧及“肺络-心络-脑络”轴系探析新型冠状病毒感染后慢性心力衰竭合并轻度认知功能障碍  

Analysis of Chronic Heart Failure Combined with Mild Cognitive Impairment after COVID-19 Based on Hypoxia and"Lung Collateral-Heart Collateral-Brain Collateral"Axis

作　　者：邹吉宇 臧凝子[1,2] 庞立健[2] 吕晓东[1] ZOU Jiyu;ZANG Ningzi;PANG Lijian;LYU Xiaodong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中华中医药学刊》2025年第1期93-96,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274440);国家中医药管理局中医络病重点学科建设项目(T0302);辽宁省新冠肺炎疫情防控应急科研攻关定向项目(辽科发[2022]28号)。

摘　　要：新型冠状病毒感染(简称新冠感染)后广泛存在着缺氧环境,并在长时间内伴随着肺系、心系、脑系等各系统并发症,与中医的“久病入络”理论相符。心脏与脑是高耗氧、高耗能器官,在缺氧环境下会直接或间接地导致慢性心衰与轻度认知功能障碍的进展。络脉细微成网、易于留邪,且“络络相通”,新冠感染后肺气不足和缺氧环境下的气血物质乏源营造了“肺络-心络-脑络”轴系“气虚络瘀”的病机特点,因此从中医络病角度探析新冠感染后慢性心力衰竭合并轻度认知功能障碍具有重要意义。After corona virus disease 2019(COVID-19),there is a widespread hypoxic environment,and accompanied by lung,heart,brain and other systemic complications for a long time,which is consistent with the theory of“long-term disease involving collateral”of traditional Chinese medicine.The heart and brain are high oxygen consuming and energy consuming organs,which can directly or indirectly lead to the progression of chronic heart failure and mild cognitive dysfunction in the hypoxic environment.The subtle network of collaterals is easy to retain evils and“collaterals are connected”.The deficiency of lung Qi after COVID-19 and the lack of Qi and blood substances in the hypoxic environment create the pathogenesis characteristics of“Qi deficiency and collateral stasis”of the“lung collateral-heart collateral-brain collateral”axis.Therefore,it is of great significance to explore chronic heart failure with mild cognitive impairment after COVID-19 from the perspective of collateral diseases in traditional Chinese medicine.

关 键 词：新型冠状病毒感染 慢性心衰 轻度认知功能障碍 缺氧 “肺络-心络-脑络” 

分 类 号：R511[医药卫生—内科学] R259.631[医药卫生—临床医学]