慢性心力衰竭中医药疗法的研究

Study on Traditional Chinese Medicine in the Treatment of Chronic Heart Failure

心力衰竭是由多种原因引起的心脏泵功能衰竭,而出现以全身血液循环障碍、组织器官灌注不足为主的一组综合征。随着人口老龄化的到来,心力衰竭疾病患病人数仍在持续、快速增加。在心血管疾病领域中,心力衰竭这一心血管疾病的主要并发症,极易导致患者的死亡,对人类的身体健康构成严重威胁。神经内分泌系统的机能亢进可加速心室重构,被认为是推动本病进展的关键因素。虽然治疗方面,交感神经阻断剂有降低心肌耗氧,阻断心室重构的作用,但临床应用时发现其副作用较多,且长期疗效尚缺乏大样本实验数据支持。近年来中医学方面对于心力衰竭的研究不断深入,中医药在心力衰竭的诊疗方面积累了大量的循证证据,临床辨证应用,疗效颇佳。本文主要从中医各家理论对于心力衰竭疾病的认识、中医对本病的辨证分型以及疗效观察等方面的研究做一综述,冀以为本病的诊疗提供更多的思路。

Heart failure is a group of syndromes caused by a variety of causes, including systemic blood circulation disorder and insufficient perfusion of tissues and organs. The number of heart failure cases continues to increase rapidly as the population ages. In the field of cardiovascular diseases, heart failure, a major complication of cardiovascular diseases, can easily lead to death of patients and pose a serious threat to human health. Hyperfunction of neuroendocrine system can accelerate ventricular remodeling, which is considered as a key factor to promote the progression of this disease. In terms of treatment, sympathetic nerve blockers can reduce myocardial oxygen consumption and prevent ventricular remodeling, but they have many side effects when applied in clinical practice, and their long-term efficacy is not supported by large sample experimental data. In recent years, the research on heart failure in traditional Chinese medicine has been deepened constantly. TCM has accumulated a large amount of evidence-based evidence in the diagnosis and treatment of heart failure. In this paper, the understanding of heart failure disease, the classification of syndrome and the observation of curative effect were summarized, which is expected to provide more ideas for the diagnosis and treatment of this disease.