董燕平教授基于“阳微阴弦”理论防治冠心病支架术后再狭窄的经验分析

Professor Dong Yan-ping′s Experience in Preventing and Treating Restenosis after Coronary Stenting Based on Theory of Weak Pulse at Yang and Stringy Pulse at Yin

虽然经皮冠状动脉支架手术是西医当前治疗急性心肌梗死的主要手段,但支架术后再狭窄(RS)是当前面临的重要的临床问题,严重影响预后和患者生活质量。董燕平教授基于“阳微阴弦”理论,认为“本虚标实,气虚血瘀”为基本病机,病理因素主要责之“痰”和“瘀”,分别从虚、痰、瘀3个方面防治不同时期的冠心病支架术后RS,提出“理气活血化痰”贯穿始终的基础上早期补气活血,祛瘀通络为主,中晚期益气温阳为主,临床疗效显著。

Percutaneous coronary stenting is the main method of Western medicine in the treatment of acute myocardial infarction,but restenosis(RS)after stenting is an important clinical problem,which seriously affects the prognosis and patients′quality of life.Based on the theory of weak pulse at yang and stringy pulse at yin,Professor Dong Yan-ping believes that"deficiency in root and excess in symptoms,qi deficiency and blood stasis"is the basic pathogenesis,and the main pathological factors are"phlegm"and"stasis".He prevents and controls RS after coronary stenting in different periods from three aspects of deficiency,phlegm and blood stasis respectively,and puts forward that it is clinically effective to tonify qi for activating blood,dispel stasis for dredging collaterals in the early stage,and to replenish qi and warm yang in the middle and late stage on the basis of"regulating qi,promoting blood circulation and resolving phlegm".