冠心病支架植入术后中西医结合优势互补探讨

Complementary Advantages of Chinese Medicine and Western Medicine for Coronary Heart Disease after PCI

支架植入术已经成为冠心病治疗的重要手段,但仍然存在再狭窄、血栓形成、慢复流/无复流、术后心理等问题,影响患者的近远期预后。中西医结合治疗可改善血瘀证、组织灌注水平、中远期预后,并提高生存质量。辨证治疗注重益气活血、豁痰通阳、活血解毒和补肾敛心。中西医两种治疗方法结合,优势互补,提升了支架术后冠心病的二级预防水平。

Stent planting has become an important therapy for coronary heart disease, but it still has a lot of problems, such as restenosis in stent, stent thrombosis, slow reflow/no reflow, phychological impress, and so on. Some researches showed integrative treatment of Chinese medicine and western medicine could reduce blood stasis score and the radio of restenosis,improve myocardial reperfusion,long-term prognosis and life quality. Chinese medicine treatment should pay more attention to these ways including nourishing Qi and removing blood stasis, removing phlegm and connecting yang, removing blood stasis and relieving poison, supple menting kidney and convergence heart. The integrative treatment of Chinese medicine and western medicine can make a better progno-sis for the patients with coronary heart disease after percutaneous coronary intervention.