从对动脉粥样硬化认识转变看中西医结合的优势与切入点

如何防治动脉粥样硬化（AS）、减少心脑血管事件的发生率和病死率是现代医学研究领域的焦点。随着研究的不断深入，对AS的认识发生了几次重要的转变，即从重视“管腔狭窄”到强调“易损斑块”、从“脂质沉积”学说为主导到“炎症反应”学说的公认以及从“易损斑块”到“易损患者”的新概念。这些转变带来了治疗学理念和方法的更新，也为中西医结合防治急性心血管事件提供了新的机遇和切入点。

Inspection on Advantage and Cut-in Point of Integrative Chinese and Western Medicine from View of Cognitive Transition on Atherosclerosis

How to prevent and cure atherosclerosis (AS), reduce the occurrence and mortality of cardiovascular and cerebrovascular events is one of the hotspots in modern medicine researches. The understanding of AS experiences several dramatic transitions along with the deepening of researches, that is, from focusing on "vascular stenosis" to stressing "vulnerable plaque"; from taking the theory of "lipid deposit" as dominant to public acceptance of "inflammatory reaction" theory, and from "vulnerable plaque" to the new conception of "vulnerable patients". These changes bring forth the update concept and method of therapeutics, and also provide new opportunity and cut-in point for integrative Chinese and Western medicine in preventing and curing acute cardiovascular events.