中西医诊疗慢性心衰的研究进展

Advances in the Diagnosis and Treatment of Chronic Heart Failure by Traditional Chinese and Western Medicine

慢性心力衰竭分为左心衰竭、右心衰竭和全心衰竭。慢性心力衰竭是临床极为常见的危重症,是所有不同病因器质性心脏病的主要并发症,其发病率及死亡率日益增高。近几年,无论是现代医学,还是传统医学,在诊疗方面都有许多新进展。现代医学指出脑钠肽作为心力衰竭诊断的标准已经被普遍应用,治疗上除了传统治疗心衰的“金三角”,许多新型治疗心衰药物被临床应用。中医学认为本病系本虚标实,以心阳虚为本,以血瘀、痰饮、水湿内停互结,故临床多以温补阳气为主,兼以活血化瘀、化痰利水、养阴。中西医结合治疗收到了良好的临床效果。

Chronic heart failure is divided into left heart failure,right heart failure and total heart failure. Chronic heart failure(CHF)is one of the most common severe diseases in clinic. It is the main complication of all kinds of organic heart disease,and its morbidity and mortality are increasing day by day. In recent years,whether modern medicine or traditional medicine,there are many new advances in diagnosis and treatment. Modern medicine points out that brain natriuretic peptide(BNP)has been widely used as a diagnostic standard for heart failure. In addition to the "Golden Triangle" of traditional treatment of heart failure,many new drugs for heart failure are used clinically. Traditional Chinese medicine believes that this disease is based on deficiency of heart and yang,blood stasis,phlegm and water Dampness stops mutually knot,so clinical mostly to warm Yang Qi,and to promote blood circulation and blood stasis,phlegm and water,nourishing Yin. Integrated traditional Chinese and Western medicine teatment has received good clinical results.