中西医结合防治代谢综合征,预防缺血性脑血管病

Prevention and cure of metabolic syndrome by integrated traditional Chinese and Western medicine to prevent ischemic cerebrovascular diseases

代谢综合征(metabolic syndrome,MS)与缺血性脑血管病(ischemic cerebrovascular disease,ICVD)的发生、疾病进展及预防控制关系密切.越来越多的研究发现,MS的多个组分均是ICVD发病的危险因素;MS是ICVD的上游疾病,ICVD等脑血管疾病是动脉粥样硬化(atherosclerosis,AS)的下游事件;中医对于二者(MS、AS)病因病机的研究发现:两者都有共同的病机-痰浊、瘀血;所以防治MS就是对ICVD危险的干预,符合国家提出的:脑卒中筛查与防治要"关口前移,重心下沉"的指导方针;从中医角度则更好的体现了中医"治未病"、"既病防变"的思想.本文就近年来关于MS、ICVD的中西医诊断、治疗进行简要综述.

Metabolic syndrome（MS） is closely related to the occurrence, progression, prevention, and control of ischemic cerebrovascular disease（ICVD）. More and more studies have found that multiple components of MS are risk factors for ICVD; MS is upstream of ICVD; and cerebral vascular disease is a downstream event of atherosclerosis（AS）. Traditional Chinese medicine research shows that phlegm and blood stasis are the common pathogenesis of MS and AS. Therefore, intervention to prevent and treat MS can reduce the risk of ICVD. This is in line with the national principle on stroke that emphasis should be put on the prevention. This also reflects the traditional Chinese medicine theories ＂preventive treatment of disease＂ and ＂disease prevention＂. This article will summarize the diagnosis and treatment of MS and ICVD in recent years.