老年人冠心病的难点与对策

The Difficulties and the Methods of Senile coronary heart disease

老年人冠心病临床治疗的难点在于老年人体质虚弱、虚实并见,多脏腑病变,病机复杂。冠脉多支病变,多合并高血压糖尿病、高血脂症、脑血管病、慢支、胃肠病、精神抑郁焦虑等老年病。老年人对药物反应慢,耐受性差易出现不良反应。核心问题是提高临床疗效,减少心绞痛反复发作,降低心脏终点事件的发生率,提高老年患者的生活质量;为此提出相应临床对策,从补气治本切入重点研究益气化瘀解毒治法和方药。从调补肾虚入手"治未病"预防冠心病的发生发展与防变,减少心绞痛发作,降低心血管事件。辨证施治与单味中药重点突破相结合。加强中药制剂研究,提高有效成分。

The clinical therapeutic difficult points of senile coronary heart disease is senile＇s weak physique, deficiency accompanied with excess, complex disease mechanism because of multilateral organs, mnhivessel disease of coronary artery, combined with senile diseases, such as hypertension, diabetes, hyperlipidemias, cerebral blood vessel diseases, chronic bronchitis, gastroenteritis, anxious and despondent condition and etc. Senile has slow reaction to drugs. Harmful reaction is easy to appear because of poor tolerance. The core is： to improve clinical curative effect, reduce angina repeated occurrences, reduce heart endpoint events occurence rate, improve senile life quality . So we put forward relevant clinical method. We emphatically study adding vital energy, converting blood stasis and dividing toxin curative method and medicine starting from adding vital energy and therapy intrinsic quality. Starting from tuning up the deficiency of the kidney we prevent diseases better than cure, prevent coronary heart disease development and the occurrence of changes, reduce angina attacks and the occurrence of cardiovascular problems. We combine the distinguishment between first symptoms and then treating with focusing on the treatment by single herbs. We Strengthen Traditional Chinese Medicine Research and enhance the active ingredients.