中医药预防急性心肌梗死后心力衰竭的新思路

New ideas on preventing heart failure after acute myocardial infarction with traditional Chinese medicine

心肌梗死后心力衰竭(以下简称心衰)因其较高的发病率和病死率,已成为一个重要的临床和公众卫生问题。积极有效地预防或减少急性心肌梗死(AMI)后心衰的发生,具有重大的现实意义。气虚血瘀是AMI和心衰共同的病理机制,以中医"治未病"理论为指导,在中医辨证论治基础上,以益气活血为主要治则,早期干预,以降低AMI后心衰的发生率,是中医药防治AMI后心衰的新思路。

Heart failure after acute myocardial infarction（AMI） has become an important clinical and public health problem because of its high morbidity and mortality.Preventing the occurrence of heart failure after AMI is of great significance.Deficiency of qi and blood stasis is the common pathological mechanism of heart failure and AMI.Under the guidance of TCM theory of ＇preventive treatment of disease＇,on the basis of syndrome differentiation and treatment of TCM,benefiting qi and promoting blood circulation in the early stage to prevent the incidence of heart failure after AMI may be a new potential therapy.