益气活血利水方治疗重度二尖瓣关闭不全长时医案分析
A long-term medical case on severe mitral insufficiency treated by Yiqi Huoxue Lishui Decoction
DOI:10.11656/j.issn.1672-1519.2020.09.20
扫 描 看 全 文
1.天津中医药大学,天津 301617
2.联勤保障部队第九八三医院康复医学科,天津 300142
3.天津中医药大学第二附属医院,天津 300250
扫 描 看 全 文
薛晓雪, 程旭峰, 姚路红, 等. 益气活血利水方治疗重度二尖瓣关闭不全长时医案分析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.11656/j.issn.1672-1519.2020.09.20
Xiaoxue XUE, Xufeng CHENG, Luhong YAO, et al. A long-term medical case on severe mitral insufficiency treated by Yiqi Huoxue Lishui Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.11656/j.issn.1672-1519.2020.09.20
薛晓雪, 程旭峰, 姚路红, 等. 益气活血利水方治疗重度二尖瓣关闭不全长时医案分析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.11656/j.issn.1672-1519.2020.09.20 DOI:
Xiaoxue XUE, Xufeng CHENG, Luhong YAO, et al. A long-term medical case on severe mitral insufficiency treated by Yiqi Huoxue Lishui Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.11656/j.issn.1672-1519.2020.09.20 DOI:
重度二尖瓣关闭不全(MR)危害性严重,极易诱发急性心力衰竭甚至严重影响患者的生存能力,心脏瓣膜术后并发症较多,对于希望保守治疗的患者,中医药治疗显得尤为关键。通过总结于春泉教授应用中药(TCM)治疗重度二尖瓣关闭不全的长时疑难病案,探讨其中医辨证思路、临床治疗经验,通过复杂网络分析挖掘核心用药。于教授根据心脏瓣膜病(HVD)的病机特点,确定采用益气活血利水法贯穿疾病各个阶段。运用西医影像检查结果判断疗效,客观全面地展示了中医药治疗疑难杂症的独特优势,有效改善了患者的生活质量。
Severe mitral regurgitation (MR) is extremely harmful and easy to induce the acute heart failure and even seriously influence the viability of patients.There are many complications after heart valve surgery.For patients who want conservative treatment, Chinese medicine treatment is particularly critical.By summarizing a long-term and difficult case of Professor YU Chunquan on severe mitral insufficiency with traditional Chinese medicine (TCM) treatment, this paper discusses his TCM dialectical thinking and clinical treatment experience, and explores the core drugs through complex network analysis.According to the pathogenesis characteristics of heart valve disease (HVD) , the Professor YU determined to use the method of Yiqi Huoxue Lishui to run through all stages of the disease.In this case, the combination of pictures and texts, the use of western medical imaging results to judge the curative effect, objectively and comprehensively demonstrated the unique advantages of traditional Chinese medicine in treating intractable diseases, and effectively improved the quality of life of patients.
重度二尖瓣关闭不全心脏瓣膜病长时医案个案分析益气活血利水方
severe mitral insufficiencyheart valve diseaselong-term medical casecase analysisYiqi Huoxue Lishui Decoction
胡颖,李艺,陶凉.退行性二尖瓣关闭不全致室性心律失常的预测因素[J].临床心血管病杂志,2019,35(9):853-857.
HU Y,LI Y,TAO L.Predictive factors of ventricular arrhythmias caused by degenerative mitral insufficiency[J].Journal of Clinical Cardiology,2019,35(9):853-857.
陈振良.二尖瓣关闭不全患者围术期左心功能改变的临床研究[D].郑州:郑州大学,2010.
CHEN Z L.Clinical research of left ventricular function changes in perioperative for patients with mitral insufficiency[D].Zhengzhou:Zhengzhou University,2010.
张华.不同治疗方法对缺血性二尖瓣关闭不全的预后评估[D].广州:南方医科大学,2016.
ZHANG H.Prognostic evaluation of various therapies for ischemic mitral regurgitation[D].Guangzhou:Southern Medical University,2016.
任崇雷,姜胜利.2014年美国心脏瓣膜病指南解读[J].心血管外科杂志(电子版),2015,4(3):107-110.
REN C L,JIANG S L.Interpretation of the 2014 American guidelines for cardiac valvular disease[J].Journal of Cardiovascular Surgery(Electronic Edition),2015,4(3):107-110.
陈淑芳,卜秋丽.全心型巨大心脏瓣膜置换术后并发症的观察与护理[J].现代临床护理,2010,9(1):40-41,62.
CHEN S F,BU Q L.Observation and nurse on postoperative complications after whole-heart giant heart valve replacement[J].Modern Clinical Nursing,2010,9(1):40-41,62.
陈升恺,林冬群,李旭东,等.心脏瓣膜病体外循环围手术期中医证侯变化特点研究[J].新中医,2013,45(9):69-71.
CHEN S K,LIN D Q,LI X D,et al.Research of changes in the characteristics of TCM syndrome about heart valves extracorporeal circulation perioperative[J].Journal of New Chinese Medicine,2013,45(9):69-71.
蔡雪朦,梁如,于春泉.从气血水辨治充血性心力衰竭验案一则[J].环球中医药,2018,11(8):1307-1310.
CAI X M,LIANG R,YU C Q.A proven case of treating congestive heart failure from the qi blood and water differentiation[J].Global Traditional Chinese Medicine,2018,11(8):1307-1310.
曹立红.超声心动图用于风湿性心脏病二尖瓣狭窄的临床分析[J].医学信息,2018,31(12):168-169.
CAO L H.Clinical analysis of echocardiography for mitral stenosis in rheumatic heart disease[J].Medical Information,2018,31(12):168-169.
钱真真,李岩,张菀桐,等.翁维良教授益气温阳活血方治疗心肌梗死反复发作5次长时医案分析[J].天津中医药,2019,36(8):730-735.
QIAN Z Z,LI Y,ZHANG W T,et al.A long-term cases on WENG Weiliang treated a patient five times myocardial infarction with Yiqi Wenyang Huoxue Decoction[J].Tianjin Journal of Traditional Chinese Medicine,2019,36(8):730-735.
梁先柱,王海永.经导管介入治疗二尖瓣关闭不全的现状[J].世界最新医学信息文摘,2019,19(52):75-76,79.
LIANG XZ,WANG HY.Current status of transcatheter interventional therapy for mitral valve insufficiency[J].World Latest Medicine Information,2019,19(52):75-76,79.
罗琳璇,孟祥慧,田鹏,等.介入治疗对冠心病中医证型影响的临床研究[J].天津中医药,2018,35(5):329-331.
LUO L X,MENG X H,TIAN P,et al.Clinical study on the change of traditional Chinese medicine syndrome in patients with coronary heart disease before and after intervention treatment[J].Tianjin Journal of Traditional Chinese Medicine,2018,35(5):329-331.
宋光明,刘丹,张敏,等.从益气活血法论治慢性心力衰竭浅析[J].天津中医药,2015,32(8):466-468.
SONG G M,LIU D,ZHANG M,et al.Analysis of treating chronic heart failure using the method of promoting blood circulation and supplementing qi[J].Tianjin Journal of Traditional Chineses Medicine,2015,32(8):466-468.
0
浏览量
4
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构