冠心病不同临床分型中药应用情况的专家调查

Expert Survey on Application of Traditional Chinese Medicine in Different Clinical Classifications of Coronary Heart Disease

目的:对冠心病不同临床分型的中药应用情况进行专家调查,把握其用药特点和规律。方法:运用Delphi法在全国范围内对冠心病不同临床分型(心绞痛、急性心肌梗死、心力衰竭、心律失常、PCI术后、CABG术后)常用的中药汤剂及口服中成药、中药静脉制剂进行两轮专家调查。结果:冠心病心绞痛常用中药包括血府逐瘀汤、瓜蒌薤白半夏汤及通心络胶囊、复方丹参滴丸、麝香保心丸、丹参注射液、丹红注射液等;急性心肌梗死常用中药包括血府逐瘀汤、瓜蒌薤白半夏汤及复方丹参滴丸、麝香保心丸、速效救心丸、生脉注射液、参麦注射液等;冠心病心力衰竭常用中药包括真武汤、芪苈强心胶囊、芪参益气滴丸及参附注射液、生脉注射液、参麦注射液等;冠心病心律失常常用中药包括炙甘草汤、天王补心丹及稳心颗粒、参松养心胶囊、生脉注射液、参麦注射液等;PCI术后常用中药包括血府逐瘀汤、通心络胶囊、复方丹参滴丸及生脉注射液、丹参注射液等;CABG术后常用中药包括血府逐瘀汤、补阳还五汤及通心络胶囊、麝香保心丸、复方丹参滴丸、生脉注射液、丹红注射液等。结论:冠心病不同临床分型的中药应用存在共性与个性特征,基于专家共识的调查结果对于冠心病临床辨证治疗具有一定参考价值。

This study was aimed to take an expert survey on the application of traditional Chinese medicine （TCM） in different clinical classifications of coronary heart disease （CHD） in order to master its medication characteristics and principles. Delphi method was applied in different clinical classifications of CHD, which contain angina pectoris, acute myocardial infarction, heart failure, arrhythmia, after percutaneous coronary inter- vention （PCI） and after coronary artery bypass graft （CABG）. Two rounds of nationwide expert survey were giv- en on the commonly-used TCM decoction, oral administration of TCM patent drugs and TCM intravenous preparations in CHD treatment. The results showed that TCM medications in the treatment of angina pectoris contain Xuefu Zhuyu decoction, Gualou Xiebai Banxia decoction, Tongxinluo capsules, Compound Danshen dripping pills, Shexiang Baoxin pill, Danshen injection, Danhong injection, and etc. And commonly used TCM medications for the treatment of acute myocardial infarction include Xuefu Zhuyu decoction, Gualou Xiebai Banxia decoction, Compound Danshen dripping pills, Shexiang Baoxin pill, Suxiao Jiuxin pills, Shengmg injec- tion, Shenmai injection and so on. Heart failure of CHD was treated by Zhenwu decoction, Qili Qiangxin cap- sule, Qishen Yiqi dripping pills, Shenfu injection, Shengmai injection, Shenmai injection and so on. TCM treatments of arrhythmia of CHD usually include Zhigancao decoction, Wenxin gran- ules, Shensong Yangxin capsule, Shengmai injection, Shenmai injection and so on. The commonly used TCM medications after PCI contain Xuefu Zhuyu decoction, Tongxinluo capsules, Compound Danshen dripping pills, Shengmai injection and Danshen injection and so on. Commonly used TCM medications after CABG include Xuefu Zhuyu decoction, Buyang Huanwu decoction, Tongxinluo capsules, Shexiang Baoxin pill, Compound Dan- shen dripping pills, Shengmai injection and Danhong injection and so on. It was concluded that different clini- cal classifications of CHD had characteristics and commonness in the application of TCM. Findings based on expert consensus through the survey provide certain reference values in the clinical syndrome differentiation of CHD.