中西医结合急性中风一二级预防的进展与热点

中风病以其高发病率、高致残率、高病死率、高复发率严重危害人类的健康,给病人、家庭及社会都带来了沉重的负担,一直是全世界医学界关注的热点问题之一。中西医结合治疗脑血管病的切入点和优势在于以下6个方面：充分发挥中医药多环节、多靶点、多系统的治疗优势和结合中医＂治未病＂的治疗思想,开展大规模的中西医结合防治中风临床试验是近两年脑血管病临床研究的趋势;中西内外结合以及融入国际先进管理理念的＂高级卒中中心＂是治疗脑血管病的未来医学发展方向;中西医结合脑血管病围手术期各种并发症的预防和治疗,提高远期疗效已成为国内医学领域的重点研究课题;脑血管病的康复治疗仍然是中西医结合研究的热点和优势所在;以循证医学为指导的中西医结合多学科联合临床治疗方法学评价研究和中医证候研究已取得了可喜的成果,但还有好多不足之处;与中医辨证论治理论相结合,中成药的个体化治疗和相关药物基因组学的研究,以指导临床治疗,进一步提高疗效,减少毒副作用的发生,从而科学规范中成药的使用。

The Key Point and the Advancement on the First-level and Secondary Prevention of Acute Ischemic Stroke in the Combination of TCM with Western Medicine

Acute ischemic stroke is a common clinical emergency,it has higher fatality rate and disability rate and bring about incubus for the patients and the families in society,thus it is always very significant to investigate the prevention of acute ischemic stroke,nowadays it is more and more stressed by stroke researchers worldwide.There are Six directions in the key point and the ascendancy of the treatment by the combination of TCM with Western medicine：.Sufficiently educe the ascendancy of clinical treatment through component elements and multitarget piont and multisystem and following the prognosis of a disease on TCM;the large-scale development in clinical trial of prevention and treatment are tendency in the clinical research on cerebrovascular disease.Senior stroke centre which establish on the cooperation with multi clinic department of combination of TCM with Weatern medicine is the development direction in future.The focal point research topic are various kinds concurrent disease in the surrounding operation period on cerebrovascular disease in internal medical domain.The hot spot and dominance is also in the rehabilitation management on cerebrovascular disease on combination of TCM and Western medicine.We already obtained the felicitous delectable achievement in the clinic methodology evaluation and TCM syndrome research by evidence based medicine though there are some inadequacy spots.The study on the combination of the individualized treatment correlated pharmacogenomics on Chinese patent medicine and the TCM theory of determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs can guide the treatment and can increase therapeutic effect and decrease toxicant side effect and can promote the standard apply in Chinese traditional patent medicine accordingly.