心脏X综合征中医药治疗的研究进展  

Research Progress of Traditional Chinese Medicine Treatment for Cardiac X Syndrome

作　　者：李文慧 杨冯静 

机构地区：[1]湖北中医药大学第一临床学院,湖北 武汉 [2]湖北中医药大学附属武汉市中医医院心内科,湖北 武汉

出　　处：《中医学》2023年第9期2545-2549,共5页Traditional Chinese Medicine

摘　　要：心脏X综合征(CXS)又称微血管性心绞痛(MVA),患者常出现类似于劳力型心绞痛的症状和体征,运动平板试验可以出现典型ST段下移的心肌缺血表现,然而冠脉造影检查未见明显阻塞或狭窄。因病因尚未明确,西医常规抗心肌缺血治疗虽可以缓解部分病人症状,但总体效果不佳。中医药从整体观念出发,辨证论治心脏X综合征的病因病机,从而得出相应的治则、选方用药,本文通过总结近年来中医药治疗心脏X综合征的诊疗进展,旨在为心脏X综合征患者增添治疗方案,提高临床疗效。Patients with Cardiac X Syndrome (CXS), also known as Microvascular Angina (MVA), often have signs and symptoms similar to those of labor angina. The exercise treadmill test can show typical myocardial ischemia with ST segment decline, but no significant obstruction or stenosis can be found on coronary angiography. Although conventional western medicine anti-myocardial ischemia therapy can relieve some patients’ symptoms, the overall effect is not good. Traditional Chinese medicine starts from the overall concept and treats the etiology and pathogenesis of heart X syn-drome according to syndrome differentiation, so as to obtain the corresponding treatment princi-ples, prescription selection and medication. This paper summarizes the progress of traditional Chi-nese medicine in the treatment of cardiac X syndrome in recent years, aiming to add more treat-ment options for patients with cardiac X syndrome and improve clinical efficacy.

关 键 词：心脏X综合征 胸痹心痛 病因病机 中医药治疗 

分 类 号：R54[医药卫生—心血管疾病]