摘要
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.
作者
张文杰
张印明
李军
武佶
汪燕红
ZHANG Wenjie;ZHANG Yinming;LI Jun;WU Ji;WANG Yanhong(Guang’anmen Hospital,China Academy of Chinese Medicine Science,Beijing 100053,China;Yankuang New Journey General Hospital,Zoucheng 273500,China)
出处
《山东中医药大学学报》
2023年第6期795-799,共5页
Journal of Shandong University of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(编号:81973836)
首都卫生发展科研专项重点攻关项目(编号:2020-1-4151)。
关键词
病态窦房结综合征
起搏器植入
房颤
心力衰竭
脾肾阳虚
痰瘀痹阻
温阳益气
化痰活血
sick sinus syndrome
pacemaker implantation
atrial fibrillation
heart failure
yang deficiency of spleen and kidney
obstruction of phlegm and blood stasis
warming yang and replenishing qi
resolving phlegm and activating blood
