李军教授治疗冠状动脉旁路移植术后再狭窄的经验总结

Professor Li Jun′s Experience in TreatingRestenosis after Coronary Artery Bypass Grafting

经冠状动脉旁路移植术(Coronary artery bypass grafting, CABG)是冠心病主要治疗手段之一。CABG术后常存在桥血管再狭窄的情况。中医药对于改善CABG术后再狭窄患者的症状、提高生活质量、改善预后颇具特色。李军教授认为CABG术后再狭窄的基本病机为阳虚血瘀,寒、痰、饮为重要发病因素;临床辨治时,重视舌脉,以扶阳活血为治疗原则,扶阳同时亦兼顾滋养阴津。

Coronary artery bypass grafting(CABG)is a major therapy for coronary heart disease.Restenosis of bridge vessels often occurs after CABG.Chinese medicine has good performance in alleviating the symptoms and improving the quality of life and prognosis of patients with restenosis after CABG.Professor Li Jun believes that the basic pathogenesis of restenosis after CABG was yang deficiency and blood stasis, and cold, phlegm, and fluid retention were the key pathogenesis factors.In clinical practice, attention should be paid to tongue and pulsemanifestations, and the treatment can follow the principle of reinforcing yang and activating blood while nourishing yin and fluid.