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经皮冠状动脉介入术后无复流现象与玄府开闭的研究
引用本文:吕仕超,张军平. 经皮冠状动脉介入术后无复流现象与玄府开闭的研究[J]. 世界科学技术-中医药现代化, 2012, 14(5): 1981-1984
作者姓名:吕仕超  张军平
作者单位:天津中医药大学 天津 300193;天津中医药大学第一附属医院 天津 300193
基金项目:高等学校博士学科点专项科研基金(20111210110003):TGF-茁1/Smads 通路在不同原因导致的心肌纤维化中差异表达及中药调控机制研究,负责人:张军平。
摘    要:无复流现象(NR)是经皮冠状动脉介入治疗(PCI)术后的常见并发症,其机制复杂,现代医学尚无理想的防治手段。我们在系统复习文献的基础上,从玄府学说认识NR,认为气血无法濡养心肌是NR的实质,其关键是玄府不利;玄府是气机升降出入的门户、津液运行的通道,玄府闭塞是NR的病机根本。并提出以开通玄府为主论治NR,为防治NR提供了新思路,对于提高PCI疗效具有重要意义。

关 键 词:经皮冠状动脉介入治疗  无复流  玄府
收稿时间:2012-05-02
修稿时间:2012-08-07

Research on No-Reflow Phenomenon after PCI and the Open and Close of Xuanfu
Lv Shichao and Zhang Junping. Research on No-Reflow Phenomenon after PCI and the Open and Close of Xuanfu[J]. World Science and Technology—Modernization of Traditional Chinese Medicine and Materia Medica, 2012, 14(5): 1981-1984
Authors:Lv Shichao and Zhang Junping
Affiliation:Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;The First Hospital Affiliated to Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
Abstract:No-Reflow (NR) is the common complication after PCI. It has a complex pathogenesis. Modern medicine has no ideal prevention and treatment method. Through systematic literature review, in the Xuanfu theory, NR is due to the reason that qi and blood cannot moisten and nourish myocardium. The key is dysfunction of Xuanfu. Xuanfu is both the gate of qi ascending, descending, exiting and entering movement and the channel of body fluid circulation. The basic pathogenesis of NR is the blockage of Xuanfu. We propose that the method of dredging Xuanfu can be used in the treatment of NR. It is a new thought for the prevention and treatment of NR. It has a significant meaning for increasing the treatment effect of percutaneous coronary intervention (PCI).
Keywords:Percutaneous coronary intervention   no-reflow   Xuanfu (mysterious mansion)
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