中医对PCI术后的病机和辨证分型探讨

经皮冠状动脉介入治疗(Percutaneous Coronary Interventions,PCI)术后再狭窄(Restenosis,RS)是影响PCI术远期疗效的主要因素之一,预防PCI术后RS已成为医学研究的热点。在中医"整体观念"和"辨证论治"理论指导下并结合临床,提出PCI术后的基本病机是气虚血瘀,并以心气虚为本,以血瘀痰浊为基本病理状态,以心肾两虚为主要病理表现,其临床辨证分型为:气阳两虚、气虚血瘀、气滞血瘀、心血瘀阻、痰浊壅塞、阴寒凝滞、痰瘀互结、心肾阴虚8个证型。

The Discuss about the Pathogenesis and Treatment with Syndrome Differentiation on the Stage of After Ercutaneous Coronary Interventions(PCI) in Traditional Chinese Medicine(TCM)

Restenosis(RS) after Percutaneous Coronary Intervention(PCI)is one of the major factors affecting long-term effectiveness of PCI.With development in the study of RS,preventing RS has become one of the targets of recent studies.We are guided by the theory of traditional Chinese medicine"holistic concept" and "treatment with syndrome differentiation"theory and are tied in clinical,suggest that the fundamental pathogenesis of after the PCI is Deficiency of Qi and Stagnancy of Blood,and based on Heart Qi Deficiency,blood stasis and endogenous retention of phlegm is confused be fundamental pathological mechanism state,heart and Kidney Deficiency for main pathological mechanism,its can be summarized to 8 types from clinical differentiation of symptoms and signs:Qi-yin Deficiency,Qi-deficiency and Blood Stasis,stagnancy of qi and blood stasis,stagnation of the heart blood,phlegm and turbid stagnation,cold accumulation,phlegm blended with blood stasis,deficiency of the heart and kidney-YIN.