运用“心脑同治”理论进行中西医结合心肺脑复苏的理论探讨

Theoretical approach on application of"synchronized treatment of heart and brain"theory to carry out cardiopulmonary-cerebral resuscitation with integration of traditional Chinese and western medicine

心搏骤停/猝死的救治成功率不足5%,如何提高心肺脑复苏的成功率,是当前急救医学面临的一项重大课题。心脑血管疾病有共同的中医理论基础和病理生理基础,为探索中医药救治心脑血管疾病的切入点,笔者运用心脑同治理论,在遵循现代医学指南标准心肺复苏术的基础上联合针刺与中药等传统急救手段进行理论探讨,发挥中医药多途径、多靶点治疗的优势,通过前期临床实践和实验研究表明,联合中医药“针药并用”的方法是抢救心搏骤停/猝死患者的重要手段,有助于提高心肺脑复苏成功率,改善患者复苏后脑神经损伤功能和预后,为心肺脑复苏提供了一种更有效的新的治疗途径。

The treatment success rate for patients with cardiac arrest/sudden death is less than 5%.How to increase the success rate of cardiopulmonary-cerebral resuscitation is at present a major topic facing emergency medicine.Both traditional Chinese medicine(TCM)theory and modern pathophysiology share a common understanding of cardiovascular and cerebrovascular diseases(CVCVD).In order to explore the intervention points of TCM in the treatment of CVCVD,the author of this article used the theory of synchronized treatment of heart and brain in TCM,followed the modern current medical standardized guidelines of cardiopulmonary resuscitation(CPR)as the base and combined with traditional emergency TCM measures(acupuncture and Chinese herbal medicine,etc.)to carry out theoretical investigation of integration of TCM and western medicine for treatment of CVCVD,and in the mean time the multi-channels and multi-targets of TCM might show its therapeutic advantages in the treatment.Through earlier clinical practice and experimental studies,it has demonstrated that the addition of acupuncture combined with TCM on the treatment of CPR is an important means to rescue patients with cardiac arrest/sudden death,which is helpful to improve the success rate of cardiopulmonary-cerebral resuscitation improve the neurological recovery and prognosis of patients after resuscitation.This combined method provides a new and effective therapeutic approach for cardiopulmonarycerebral resuscitation.