世界中医药
文章摘要
引用本文:常成成1,2,3,袁国强1,2,3,常丽萍3,4,魏聪3,4,王磊1,2,3,孙永辉2,贾振华1,2,3.基于脉络学说探讨急性ST段抬高型心肌梗死辨证论治[J].世界中医药,2024,(03):.  
基于脉络学说探讨急性ST段抬高型心肌梗死辨证论治
Discussion on Syndrome Differentiation and Treatment of Acute ST-segment Elevation Myocardial Infarction Based on Vessel-collateral Theory
投稿时间:2022-08-22  
DOI:10.3969/j.issn.1673-7202.2024.03.011
中文关键词:  脉络学说  急性心肌梗死  营卫理论  再灌注治疗  心绞痛  心律失常  心力衰竭
English Keywords:Vessel-collateral theory  Acute myocardial infarction  Ying-Wei Theory  Reperfusion treatment  Angina pectoris  Arrhythmia  Heart failure
基金项目:国家重点研发计划“中医药现代化研究”重点专项资助项目(2017YFC1700501);河北省重点研发计划中医药创新专项(223777120D);河北省中医药管理局科研计划课题(2022420)
作者单位
常成成1,2,3,袁国强1,2,3,常丽萍3,4,魏聪3,4,王磊1,2,3,孙永辉2,贾振华1,2,3 1 河北以岭医院心血管病科国家中医药管理局中医络病学重点学科石家庄050090 2 河北省中医心血管疾病临床医学研究中心石家庄050090 3 吴以岭全国名老中医药传承工作室石家庄050090 4 河北以岭医药研究院络病研究与创新中药国家重点实验室石家庄050035 
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中文摘要:
      急性ST段抬高型心肌梗死(STEMI)具有发病急骤、病情凶险的临床表现,属脉络血管系统病研究疾病之一。脉络学说作为指导脉络-血管系统病防治的系统理论,根据STEMI的临床特点,认为应当在分阶段治疗的同时注重整体全程论治,进而在结合辨证论治原则及循证医学研究基础上,提出以脉络学说为指导的再灌注术前及术后治疗的新干预策略及辨证论治思路,形成对本病的系统防治理念,为本病的中西医结合治疗提供了新的治疗参考。
English Summary:
      Acute ST-segment elevation myocardial infarction(STEMI)has the clinical manifestations of sudden onset and a clinically perilous presentation,and is one of the diseases studied in the field of vessel-collateral vascular system research.As a systematic theory guiding the prevention and treatment of vessel-collateral system diseases,vessel-collateral theory suggests that according to the clinical characteristics of STEMI,treatment should focus on both staged therapy and comprehensive holistic treatment.By combining the principles of differentiation and treatment with evidence-based medicine,this study proposed a new intervention strategy and a differentiation and treatment approach guided by vessel-collateral theory for preoperative and postoperative treatment of reperfusion for STEMI.This forms a systemic prevention and treatment concept for this disease,providing a new reference for the treatment of this disease with integrated traditional Chinese and Western medicine.
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