基于络病理论探讨冠心病PCI术后心绞痛的诊疗思路

Discussion on diagnosis and treatment of angina pectoris after PCI in patients with coronary heart disease based on Luobing theory

心绞痛常累及心脏大、中、小、微小血管,近年来,以络病理论为指导,基于中医脉的概念与西医所讲血管、中医的脉络与西医的中小血管、中医的孙络与西医微血管之间的密切相关性提出的“脉络-血管系统病”概念,将其归属于“心络病”范畴,其治疗遵循络病学提出的“络以通为用”原则。因此运用络病理论探讨冠心病PCI术后心绞痛病机状态,以期为PCI术后心绞痛临床防治提供新思路。

Angina often involves the large,medium,small and tiny blood vessels of the heart.In recent years,based on the theory of Luo disease(络病),the concept of Mai(脉),Mailuo(脉络)and Sunluo(孙络)in TCM and the large,small and medium,tiny blood vessels in Western medicine,the concept of choroid-vascular system disease was proposed;its classified as Xinluo disease(心络病)category,and its treatment follows the principle of Tongluo(通络).Therefore,diagnosis and treatment of angina pectoris after PCI in patients with coronary heart disease were discussion based on collateral disease theory,in order to provide a new idea for the clinical prevention and treatment.