冠状动脉血管成形术后再狭窄的中医证候初探

目的]探讨中医药在防治冠状动脉血管成形术（PTCA）后再狭窄中的作用。分析其中医证候特点。方法]观察120例PTCA术后再狭窄（RS）的病例，PTCA术及支架植入术按常规标准方法进行，中医证候参照邓铁涛教授治疗冠心病的证候标准。结果]气虚痰瘀证78例，占65%；阴虚痰瘀证13例。占11%；痰瘀内阻证29例。占24%。结论]本观察印证了邓铁涛教授的学术思想，大多数PTCA术后再狭窄患者的中医证候为气虚痰瘀证，以益气化痰活血为主的中药治疗可能是防治RS的有效途径。

TCM Syndrome Analysis of Restenosis after Percutaneous Transluminal Coronary Angioplasty

One hundred and twenty cases of restenosis after percutaneous transluminal coronary angioplasty (PTCA) were subjected to TCM syndrome analysis.PTCA and support implantation were performed by routine method. The standard of TCM syndrome differentiation is subordinated to Professor Deng Tietao. The results showed that 78 cases (65%) were differentiated as Qi deficiency with phlegm-blood stasis, 13(11%) as yin deficiency with phlegm-blood stasis and 29 (24%)as phlegm-blood stagnation. It is indicated that Qi deficiency with phlegm-blood stasis is the main syndrome and reinforcing Qi dissipating phlegm and activating blood-flow may be a reasonable way of preventing and treating restenosis.