[关键词]
[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。
[Key word]
[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).
[中图分类号]
[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。