高血压合并颈动脉粥样硬化的中西医治疗进展

Chinese and Western Medicine Treatment Progression between Hypertension and Carotid Atherosclerosis

高血压病作为一种发作较为普遍的心血管疾病,同时也是动脉硬化产生与进展的主要危险来源。颈动脉粥样硬化作为众多心血管疾病的病理基础,伴随着血压水平的升高与动脉硬化水平的加剧,患者发生心肌梗死、脑卒中等心血管不良事件的死亡风险也随之增高,但是早期又以其症状隐匿而不易被发现,从而不能对病情有精准的把握。目前对于该病的治疗,西医方面治疗方案较为繁杂,但仍然主要以药物对症治疗为主,近年来大量临床实验结果显示,在控制血压积极治疗原发病的同时,抗血小板凝集、对血脂进行有效调节均能提高临床疗效。中医的整体观念、辨证论治思想为该疾病的诊断与治疗提供很多新思路。

Hypertension, as a common cardiovascular disease with frequent outbreaks, is also the main risk factor for the development and progression of arteriosclerosis. Carotid atherosclerosis, as the pathological basis of many cardiovascular diseases, is accompanied by an increase in blood pressure and arterial atherosclerosis. The risk of death from cardiovascular events such as myocardial in-farction and stroke also increases. However, in the early stage, it is characterized by hidden symp-toms and is not easily detected, so it cannot be accurately grasped. Currently, the Western medicine treatment plan for this disease is relatively complicated, but it is still mainly based on symptomatic treatment with drugs. In recent years, a large number of clinical trial results have shown that con-trolling blood pressure while actively treating the primary disease, anti-platelet aggregation, and effective regulation of blood lipid levels can improve clinical efficacy. The overall concept and the treatment of syndrome differentiation in traditional Chinese medicine provide many new ideas for the diagnosis and treatment of this disease.