中医药治疗病态窦房结综合征起搏器植入术后并发症研究概述

Overview of Complications After Pacemaker Implantation in Sick Sinus Syndrome Treated by Traditional Chinese Medicine

病态窦房结综合征(病窦综合征)的根本病机为脾肾阳虚、心阳不振,新发房颤、心力衰竭是病窦综合征起搏器植入术后常见的并发症,这与术后病机向心阴亏虚、痰浊痹阻、瘀血阻脉演变有关,多以温补心脾肾、益气补阴、化痰活血的方法治疗本病。着眼于心、脾、肾三脏,对病窦综合征的病因病机、起搏器植入术后病机演变及中医药治疗本病的研究进展进行综述,以期为病窦综合征起搏器植入术后并发症的临床治疗拓宽思路。参考文献40篇。

The fundamental pathogenesis of sick sinus syndrome(SSS)is yang deficiency of spleen and kidney and deficiency of heart yang.New-onset atrial fibrillation and heart failure are common complications after pacemaker implantation in SSS,which are related to the evolution of postoperative pathogenesis to deficiency of heart yin,obstruction of phlegm,blood stasis obstructing the blood vessels.This disease is mainly treated by warming and tonifying heart,spleen and kidney,replenishing qi and tonifying yin,resolving phlegm and activating blood.Focusing on heart,spleen and kidney,this article reviews the etiology and pathogenesis of SSS,the pathogenesis evolution after pacemaker implantation and the research progress of traditional Chinese medicine in the treatment of SSS,in order to broaden the ideas for the clinical treatment of complications after pacemaker implantation.Total 40 references were cited.