冠脉介入治疗后再狭窄之中医药防治

Traditional Chinese Medicine in Treatment of Restenosis After Percutaneous Coronary Intervention

经皮冠状动脉介入治疗是冠心病治疗的又一重要手段,然而介入后再狭窄问题始终困扰着医学界,成为当前医学界难题之一。张静生教授根据传统中医理论,结合多年临床经验,认为PCI术后再狭窄的形成主要涉及心、脾、肾三脏。病位在心,以气阴两虚为本,气滞、血瘀、痰浊为标。因此,治则以益气养阴为主,兼顾活血化瘀、祛痰、行气,并要注重防治结合,防在治先,顾护脾胃,调理情志。临床实践证实,此法在PCI术后再狭窄的治疗中取得了显著成效。

Percutaneous coronary intervention（PCI）is an important means of treating coronary heart disease,however,restenosis after PCI becomes one of the difficult problems.According to traditional Chinese medicine theory,combined with years of clinical experience,Professor ZHANG Jing-sheng suggested the formation of restenosis after PCI mainly involves the heart,spleen and kidney.This disease is principally due to deficiency of Qi and Yin,and secondarily due to Qi stagnation,blood stasis and phlegm.Therefore,the therapeutic method is invigorating Qi and nourishing Yin.Prevention and treatment should be combined together.Simultaneously,protecting stomach and spleen,and managing the emotional conditioning are also important.This method in the treatment of restenosis after PCI has achieved remarkable effects in clinical practice.