摘要
目前糖尿病的患病率呈上升趋势,心血管疾病是糖尿病的主要并发症,急性冠脉综合征（ACS）是冠心病的危重形式,与非糖尿病患者相比,糖尿病合并ACS的患者病情更严重,治疗矛盾多,困难大.尽管经皮冠脉介入治疗（PCI）对冠状动脉的再通起到了一定作用,但对糖尿病ACS患者而言,PCI术后面临的问题仍然严重.中医学认为糖尿病ACS的病因病机为气阴两虚,瘀毒内蕴.通过临床观察和回顾性分析发现,糖尿病ACS患者采用滋阴益气、活血解毒疗法的干预,简化了治疗方案,是多环节、多途径、多靶点的整体调节治疗,是中医药整体观念、辨证论治、多环节干预的独特优势在糖尿病ACS综合防治方面的充分体现.
At present, the prevalence rate of diabetes presents a rising tendency. The cardiovascular disease is a major complication of diabetes mellitus and acute coronary syndrome （ACS） is a severe form of coronary heart disease. Compared with non-diabetic patients, the disease situation in diabetic ACS patients is more serious with more contradictory problems and difficulty in treatment. Although percutaneous coronary intervention （PCI） plays a certain role in re-canalization of coronary artery, after PCI the problems the patients with diabetic ACS will face are still serious. traditional Chinese medicine （TCM） recognizes that the etiology and pathogenesis of diabetic ACS are deficiency in Qi and Yin, and accumulation of blood stasis and toxin inside the body. Through clinical observation and retrospective analysis, it is found that using ＂supplementing Qi and nourishing Yin, activating blood circulation and detoxifying＂ can interfere with the patients＇ diabetic ACS and simplify the therapeutic regimen, which is an integrated regulatory treatment with multiple links, multiple pathways and multiple targets, and is a sufficient realization of unique superiority of traditional Chinese medicine by using holistic concept, syndrome differentiation and multiple-link interference for comprehensive prevention and treatment of diabetic ACS.
作者
符显昭
黄振峰
黄文华
谭万里
李春燕
潘兴寿
王清礼
班富度
Fu Xianzhao Huang Zhenfeng Huang Wenhua Tan Wanli Li Chunyan Pan Xingshou Wang Qingli Ban Fudu(Clinic Medical College of Youjiang Medical National College, Baise 533000, Guangxi, China Napo County People＇s Hospital, Napo 533900, Guangxi, China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2017年第5期547-551,共5页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
国家自然科学基金地区项目（81460698）
广西自然科学基金项目（2015GXNSFAAl39221）
广西中医药民族医药传承创新专项课题（GZLCl6-51）
广西高校大学生创新创业计划项目（201510599021）.
关键词
糖尿病
冠心病
急性冠脉综合征
滋阴益气
活血解毒
Diabetes mellitus
Coronary heart disease
Acute coronary syndrome
Supplementing Qi and nourishing Yin
Activating blood circulation and detoxifying
