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摘要:在邓铁涛教授指导下,观察了冠状动脉搭桥手术配合中医辨证治疗冠心病患者 18 例。发现搭桥术后气虚痰瘀是基本病机,气阳虚衰、气阴不足多见,且多夹瘀夹痰。出现肺部并发症多辨为痰浊壅肺。认为冠脉搭桥术后结合中医辨证论治,能够为进一步探讨病变规律,防治并发症、提高成功率打好基础。
中图分类号:R541.4 文献标识码:A
文章编号:1007-3213(2000)03-0228-02
TCM Syndrome Differentiation and Treatment of Coronary Heart
Disease After Coronary Artery Bypass Graft
WU Huanlin,RUAN Xinmin,ZHANG Minzhou,LIN Yu,FU Jian,ZHOU Xu
(Heart Disease Center, Second Affiliated Hospital, Guangzhou University of TCM, Guangzhou 510120, China)
Abstract: Eighteen cases of coronary heart disease after coronary artery bypass graft was treated by Chinese herbal medicine based on syndrome differentiation. Results showed that qi deficiency with phlegm stasis was the main pathogenesis. Qi deficiency was often accompanied with yang deficiency, yin deficiency, blood stasis or phlegm stasis. Pulmonary complications were mainly due to accumulation of phlegm in the lung. It is concluded that TCM syndrome differentiation and treatment after coronary artery bypass graft is effective for the prevention and treatment of complications and increases the success rate of bypass graft.
Key words: CORONARY DISEASE/therapy; CORONARY ARTERY BYPASS;
CORONARY DISEASE/pathogenesis (TCM); HEART-QI DEFICIENCY;
QI-YIN DEFICIENCY; PHLEGM SYNDROME;
BLOOD STASIS; DENG TIETAO
冠状动脉搭桥术是目前冠心病治疗的主要手段之一。手术后配合用中药治疗,有利于患者康复,但冠状动脉搭桥手术后,患者的中医证候如何,以往没有经验。我们请邓铁涛教授作指导,观察了冠状动脉搭桥手术后配合中医辨证治疗共 18例,结果报告如下。
1 资料与方法
1.1 一般资料
冠状动脉搭桥术18例,其中1例冠状动脉搭桥术合瓣膜置换术,2例冠状动脉搭桥术合室壁瘤切除术。男16例,女2例,年龄45~77岁,平均69岁。心功能分级为2级者15例,3级者3例。EF值25%~70%,平均EF值47%。
1.2 方法
1.2.1 手术方法 经右颈内静脉置入 Swan_Ganz导管作血流动力学监测。常规全麻、中低温体外循环。经胸骨正中切口开胸。常规升主动脉及右心耳插管建立体外循环,均采用膜肺,经主动脉根部插“Y”型灌注针,间断灌注5∶1低温冷混合血,同时以晶体心搏停跳液低流量持续逆灌心肌保护。然后进行冠状动脉搭桥(内乳动脉、大隐静脉)。1例行心脏不停跳下大隐静脉搭桥术。术后由邓铁涛教授指导,对患者进行辨证和提出治疗方案。 职称论文发表网http://www.issncn.com
职称论文发表网http://www.issncn.com
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