世界科学技术-中医药现代化
世界科學技術-中醫藥現代化
세계과학기술-중의약현대화
WORLD SCIENCE AND TECHNOLOGY-MODERNIZATION OF TRADITIONAL CHINESE MEDICINE
2013年
5期
804-808
,共5页
冠心病%临床分型%中药%专家调查%Delphi法
冠心病%臨床分型%中藥%專傢調查%Delphi法
관심병%림상분형%중약%전가조사%Delphi법
Coronary heart disease%clinical classification%traditional Chinese medicine%expert survey%Delphi method
目的：对冠心病不同临床分型的中药应用情况进行专家调查，把握其用药特点和规律。方法：运用Delphi法在全国范围内对冠心病不同临床分型（心绞痛、急性心肌梗死、心力衰竭、心律失常、PCI术后、CABG术后）常用的中药汤剂及口服中成药、中药静脉制剂进行两轮专家调查。结果：冠心病心绞痛常用中药包括血府逐瘀汤、瓜蒌薤白半夏汤及通心络胶囊、复方丹参滴丸、麝香保心丸、丹参注射液、丹红注射液等；急性心肌梗死常用中药包括血府逐瘀汤、瓜蒌薤白半夏汤及复方丹参滴丸、麝香保心丸、速效救心丸、生脉注射液、参麦注射液等；冠心病心力衰竭常用中药包括真武汤、芪苈强心胶囊、芪参益气滴丸及参附注射液、生脉注射液、参麦注射液等；冠心病心律失常常用中药包括炙甘草汤、天王补心丹及稳心颗粒、参松养心胶囊、生脉注射液、参麦注射液等；PCI术后常用中药包括血府逐瘀汤、通心络胶囊、复方丹参滴丸及生脉注射液、丹参注射液等；CABG术后常用中药包括血府逐瘀汤、补阳还五汤及通心络胶囊、麝香保心丸、复方丹参滴丸、生脉注射液、丹红注射液等。结论：冠心病不同临床分型的中药应用存在共性与个性特征，基于专家共识的调查结果对于冠心病临床辨证治疗具有一定参考价值。
目的：對冠心病不同臨床分型的中藥應用情況進行專傢調查，把握其用藥特點和規律。方法：運用Delphi法在全國範圍內對冠心病不同臨床分型（心絞痛、急性心肌梗死、心力衰竭、心律失常、PCI術後、CABG術後）常用的中藥湯劑及口服中成藥、中藥靜脈製劑進行兩輪專傢調查。結果：冠心病心絞痛常用中藥包括血府逐瘀湯、瓜蔞薤白半夏湯及通心絡膠囊、複方丹參滴汍、麝香保心汍、丹參註射液、丹紅註射液等；急性心肌梗死常用中藥包括血府逐瘀湯、瓜蔞薤白半夏湯及複方丹參滴汍、麝香保心汍、速效救心汍、生脈註射液、參麥註射液等；冠心病心力衰竭常用中藥包括真武湯、芪藶彊心膠囊、芪參益氣滴汍及參附註射液、生脈註射液、參麥註射液等；冠心病心律失常常用中藥包括炙甘草湯、天王補心丹及穩心顆粒、參鬆養心膠囊、生脈註射液、參麥註射液等；PCI術後常用中藥包括血府逐瘀湯、通心絡膠囊、複方丹參滴汍及生脈註射液、丹參註射液等；CABG術後常用中藥包括血府逐瘀湯、補暘還五湯及通心絡膠囊、麝香保心汍、複方丹參滴汍、生脈註射液、丹紅註射液等。結論：冠心病不同臨床分型的中藥應用存在共性與箇性特徵，基于專傢共識的調查結果對于冠心病臨床辨證治療具有一定參攷價值。
목적：대관심병불동림상분형적중약응용정황진행전가조사，파악기용약특점화규률。방법：운용Delphi법재전국범위내대관심병불동림상분형（심교통、급성심기경사、심력쇠갈、심률실상、PCI술후、CABG술후）상용적중약탕제급구복중성약、중약정맥제제진행량륜전가조사。결과：관심병심교통상용중약포괄혈부축어탕、과루해백반하탕급통심락효낭、복방단삼적환、사향보심환、단삼주사액、단홍주사액등；급성심기경사상용중약포괄혈부축어탕、과루해백반하탕급복방단삼적환、사향보심환、속효구심환、생맥주사액、삼맥주사액등；관심병심력쇠갈상용중약포괄진무탕、기력강심효낭、기삼익기적환급삼부주사액、생맥주사액、삼맥주사액등；관심병심률실상상용중약포괄자감초탕、천왕보심단급은심과립、삼송양심효낭、생맥주사액、삼맥주사액등；PCI술후상용중약포괄혈부축어탕、통심락효낭、복방단삼적환급생맥주사액、단삼주사액등；CABG술후상용중약포괄혈부축어탕、보양환오탕급통심락효낭、사향보심환、복방단삼적환、생맥주사액、단홍주사액등。결론：관심병불동림상분형적중약응용존재공성여개성특정，기우전가공식적조사결과대우관심병림상변증치료구유일정삼고개치。
This study was aimed to take an expert survey on the application of traditional Chinese medicine (TCM) in different clinical classifications of coronary heart disease (CHD) in order to master its medication characteristics and principles . Delphi method was applied in different clinical classifications of CHD , which contain angina pectoris, acute myocardial infarction, heart failure, arrhythmia, after percutaneous coronary inter-vention ( PCI ) and after coronary artery bypass graft ( CABG ) . Two rounds of nationwide expert survey were giv-en on the commonly-used TCM decoction , oral administration of TCM patent drugs and TCM intravenous preparations in CHD treatment . The results showed that TCM medications in the treatment of angina pectoris contain Xuefu Zhuyu decoction, Gualou Xiebai Banxia decoction, Tongxinluo capsules, Compound Danshen dripping pills, Shexiang Baoxin pill, Danshen injection, Danhong injection, and etc. And commonly used TCM medications for the treatment of acute myocardial infarction include Xue fu Zhuyu decoction , Gualou Xiebai Banxia decoction, Compound Danshen dripping pills, Shexiang Baoxin pill, Suxiao Jiuxin pills, Shengmai injec-tion , She nmai injection and so on . Heart failure of CHD was treated by Zhenwu decoction , Qili Qiangxin cap-sule, Qishen Yiqi dripping pills, Shenfu injection, Shengmai injection, Shenmai injection and so on. TCM treatments of arrhythmia of CHD usually include Zhigancao decoction , Tianwang Buxin boluses , Wenxin gran-ules, Shensong Yangxin capsule, Shengmai injection, Shenmai injection and so on. The commonly used TCM medications after PCI contain Xuefu Zhuyu decoction, Tongxinluo capsules, Compound Danshen dripping pills, Shengmai injection and Danshen injection and so on. Commonly used TCM medications after CABG include Xuefu Zhuyu decoction, Buyang Huanwu decoction, Tongxinluo capsules, Shexiang Baoxin pill, Compound Dan-shen dripping pills, Shengmai injection and Danhong injection and so on. It was concluded that different clini-cal classifications of CHD had characteristics and commonness in the application of TCM . Findings based on expert consensus through the survey provide certain reference values in the clinical syndrome differentiation of CHD .
