中医药治疗动脉硬化的临床进展
蔡增博,赵瑞成,张崇泉,赵文博,李玉华,徐清玲,祖攀宁,唐沛兰,李跃辉
摘要(Abstract):
<正>动脉硬化性疾病作为一类慢性复杂性疾病,既是多种病理因素的结果,也是多种疾病的病因。近年来由于生活水平的提高,不健康的生活方式使本病发生率增高,现已跃居导致人口死亡的主要原因之列。动脉硬化的防治已成为临床多种疾病,尤其是心脑血管疾病治疗的重要途径之一。中医药治疗本病有独特的疗效和方法。笔者就近年来对老中医药专家治疗本病的
关键词(KeyWords): 动脉硬化;病因病机;治则治法;综述
基金项目(Foundation): 湖南省中医药管理局课题(201283)
作者(Author): 蔡增博,赵瑞成,张崇泉,赵文博,李玉华,徐清玲,祖攀宁,唐沛兰,李跃辉
参考文献(References):
- [1]陆再英,钟南山.内科学[M].北京:人民卫生出版社,2010:267-274.
- [2]彭伟.许心如学术思想与临床经验总结及益气活血、泻肺利水法治疗充血性心力衰竭的临床探讨[D].北京:北京中医药大学中西医结合临床心脑血管,2011:34.
- [3]杨佼,宋世运.朱建贵益肾活血法治疗颈动脉粥样硬化斑块经验[J].北京中医药,2012,36(2):416-417.
- [4]梁晋普,王亚红.郭维琴教授从脾胃论治冠状动脉粥样硬化性心脏病经验[J].环球中医药,2011,4(3):223-225.
- [5]徐旭英.陈淑长教授诊治动脉硬化闭塞症经验[J].云南中医中药杂志,2010,31(3):3-4.
- [6]周旭升.魏执真教授学术思想与临床经验总结及养阴平肝降逆法治疗椎-基底动脉供血不足的研究[D].北京:北京中医药大学中医内科,2011:47-49.
- [7]于玉英.王连志教授软坚解毒为主治疗动脉粥样硬化[J].实用中医内科杂志,2012,26(4):21-22.
- [8]康海静.王化良教授运用清热解毒法治疗冠心病经验[J].长春中医药大学学报,2012,28(1):59-60.
- [9]张磊,唐彬.赵淳教授防治动脉粥样硬化的学术经验[J].云南中医中药志,2011,32(4):8-9.
- [10]唐黎群.潘智敏主任医师治疗脑动脉硬化症经验[J].中国中医急症,2006,15(8):883-884.
- [11]周仲英,金妙文,顾勤,等.滋肾养肝、化痰消瘀法治疗动脉粥样硬化的理论探讨[J].南京中医药大学学报,2002,18(3):137-139.
- [12]孙骐,孙毅.张琪治疗颈动脉粥样硬化经验方介绍[J].江苏中医药,2011,43(4):70-71.
- [13]徐舒畅,欧秀华,华雪君,等.灸法配合益气活血升阳方治疗脑动脉硬化症疗效观察[J].人民军医,2009,52(10):668-669.
- [14]周金凤.温阳通络针刺法治疗下肢动脉硬化闭塞症初探[J].上海针灸杂志,2009,28(3):160-161.
- [15]廖瑜修.壮医药线点灸治疗脑动脉硬化性头痛临床观察[J].中国民族民间医药,2009,18(5):106-107.
- [16]艾斯卡尔.艾克热木,阿布都艾尼.阿布都卡地尔,艾山江.斯马义.维医治疗心脑动脉硬化34例临床报告[J].中国民族医药杂志,2012,18(2):24.
- [17]Heinrich J,Schulte H,Schonfeld R,et al.Association of vari-ables of coagulation,fibrinolysis and acute phase protein withatherosclermaa in coronary and peyipheral arteries and thosearteries supplying the brain[J].Thromb Haemostas,1995,73:374-378.
- [18]Hak AE,Stehouwer DA,Bots ML,et al.Association of C-re-active protein with measures of obesity,insulin resistance,andsubclinnicaa atherosclerosis in healthy,middleaged women[J].Arterioaa Thromb Vasc Biol,1999,19(1):986-991.
- [19]Fruebis J,Gonzalez V,Silvestre M,et al.Effect of probucoltreatment on gene expression of VCAM-1,MCP-1,and M-CSF in the aortic wall of LDL receptor-deficient rabbit duringearly atherogenesis[J].Arterioscler Thromb Vasc Biol,1997,17(7):1289-1302.
- [20]Lusis AJ.Atherosclerosis[J].Nature,2000,407(14):233.
- [21]Freedman JE,Loscalzo J,Benoit SE,et al.Decreased plateletinhibition by nitric oxide in two brothers with a history of cere-bral arterial thrombosis[J].Clin Invest,1996,97(4):979-987.
- [22]Grau AJ,Ruf Andereas,Vogt A,et al.Increased fraction ofcirculating activated platelets in acute and previous cere-brovascular ischemia[J].Thromb Haemost,1998,80(2):298-301.
- [23]Ross R.Atherosclerosis:an inflammatory disease[J].N Engl JMed,1999,340:115-126.
- [24]Wiegman PJ,Barry WL,Mephers0n JA,et al.Alltransretinoicacid limits restenosis after balloon angioplasty in the focallyatheroselerotic rabbit:A favorable effect on vessel remodel-ing[J].Arteriosder Thromb Vase Biol,2000,20(1):89.
- [25]魏毅,张贵平.黄芪多糖与白芍总苷对THP-1巨噬细胞源性泡沫细胞内脂质的影响[J].中药新药与临床药理,2007,18(3):189-191.
- [26]杨俊卿,周岐新,李远宗.姜黄提取物对实验性动物高脂血中国中医急症2013年5月第22卷第5期JETCM.May2013,Vol.22,No.5症的防治作用研究[J].中国药房,2004,15(10):598-600.
- [27]姚红,黄少华,苏子仁.葛根总黄酮对神经肽y诱导血管平滑肌细胞增殖的抑制作用[J].广州中医药大学学报,2005,22(3):203-205.
- [28]周永兰,陈清枝,张延斌,等.三七总皂苷对血管平滑肌细胞增殖及c-myc基因表达的影响[J].中国动脉硬化杂志,2006,14(8):662-664.
- [29]霍青.钩藤总生物碱干预高血压血管重塑及保护血管内皮细胞功能的研究[D].南京:南京中医药大学中西医结合临床心血管疾病,2010:51-52.
- [30]Ding M,Ye TX,Zhao GR,et al.Aqueous extract of Salviamiltiorrhiza attenuates increased endothelial permeability in-duced by tumor necrosis factor-α[J].Int Immunopharma-col,2005,5:1641.
- [31]熊涛,吴兴军,王逸平.丹参多酚盐抑制低密度脂蛋白氧化修饰[J].中国药理与临床,2004,20(4):7.
- [32]Shi CS,Huang HC,Wu HL,et al.Salvianolic acid B modu-lates hemostasis properties of human umbilical vein endothe-lial cells[J].Thromb Res,2007,119:769.
- [33]Zhang HS,Wang SQ.Salvianolic acid B from salvia miltior-rhiza inhibits tumor necrosis factor-α(TNF-α)-inducedMMP-2 upregulation in human aortic smooth muscle cells viasuppression of NAD(P)H oxidase-derived reactive oxygenspecies[J].J Mol Cell Cardiol,2006,41:138.
- [34]杨五彪,陈群力,马灵药,等.黄茂多糖对兔动脉粥样硬化内皮素-1、C反应蛋白的影响[J].中华实用中西医杂志,2005,18(14):317.
- [35]Fang ZY,Lin R,Yuan BX.TanshinoneⅡA downregulates theCD40 expression and decreases MMP-2 activity on atheroscle-rosis induced by high fatty diet in rabbit[J].J Ethnopharma-col,2008,115:217.
- [36]Fang ZY,Lin R,Yuan BX,et al.TanshinoneⅡA inhibitsatherosclerotic plaque formation by down-regulating MMP-2and MMP-9 expression in rabbits fed a high-fat diet[J].LifeSci,2007,81:1339.
- [37]宋剑南.中医药在动脉硬化性疾病防治研究中的比较优势及思考[J].中国动脉硬化杂志,2012,20(3):193-196.