| 777 | 40 | 63 |
| 下载次数 | 被引频次 | 阅读次数 |
冠心病合并失眠患者在临床广泛存在,无论从中医理论还是现代研究都证明失眠与冠心病有着极其密切的关系。冠心病患者并发或继发的失眠可增加心血管疾病的风险,直接或间接影响心脏功能的恢复,进一步加重患者的临床症状。失眠是一种常见和潜在的可治疗的临床表现,是心血管疾病具有可调节性的致病因素。用镇静催眠类药物对失眠进行对症治疗,往往忽视了二者之间的内在联系,加重患者心理负担,且效果不佳、不良反应严重。用中医中药治疗冠心病合并失眠,能体现整体观念和辨证论治的治疗原则,有着良好的临床效果。
Abstract:There are many patients attacked by coronary artery disease combined insomnia in clinic. Both the theories of Chinese medicine and modern researches have confirmed that insomnia and coronary heart disease have an extremely close relationship. Patients with coronary heart disease and concurrent or consequential insomnia can increase risk of cardiovascular disease,which directly or indirectly affect the heart function of the recovery and further increase patient's clinical symptoms. Insomnia is a common and potentially be used to treat the clinical performance,cardiovascular disease with adjustable of the pathogenic factors. Using sedative-hypnotic drugs for symptomatic treatment of insomnia,often overlooks the intrinsic link between the two and increass patient psychological burden,with bad effects and serious adverse reactions. Treating of coronary artery disease with traditional Chinese medicine with insomnia,and grasp the holism and the treating principles of syndrome differentiation and treatment with good clinical results.
[1]周仲瑛.中医内科学[M].2版.北京:中国中医药出版社,2007:135-146.
[2]王坚.还魂汤治疗冠心病心绞痛失眠症临床观察[J].中国当代医药,2010,7(17):100-101.
[3]Yeboah J,Crouse J R,Hsu F-C,et al.Brachial flow-mediated dilation predicts incident cardiovascular events in older adults[J].Circulation.2007,115(18):2390-2397.
[4]Laugsand L E,Skaug E A,et al.Insomnia and endothelial function the HUNT 3 fitness study[J].PLoS One,2012,7(12):45.
[5]Weil B R,Mestek M L,Westby C M,et al.Short sleep duration is associated with enhanced endothelin-1 vasoconstrictor tone[J].Can J Physiol Pharmacol,2010,88(8):777-781.
[6]曲振瑞,赵蔚,郑爽.冠心病患者失眠原因分析及干预[J].基层医学论坛,2006(10)9:831.
[7]周建妹,于恩彦,吴万振.老年冠心病合并失眠患者心率变异性的临床研究[C].浙江省精神病学学术年会论文,2008
[8]Wade A G,Ford I,Crawford G,et al.Efficacy of prolonged release melatonin in insomnia patients aged 55-80 years:quality of sleep and next-day alertness outcomes[J].Current Medical Research Opinion,2007,23(10):2597-2605.
[9]Neubauer D N.A review of ramelteon in the treatment of sleep disorders[J].Neuropsychiatr Disease and Treatment,2008,4(1):69-79.
[10]Szarszoi O,Asemu G,Vanecek J,et al.Effects of melatonin on ischemia and reperfusion injury of the rat heart[J].Cardiovascular Drugs Therapy,2001,15(3):251-257.
[11]任洪波,张同华,秦永文,等.褪黑素对缺血再灌注心肌细胞线粒体的保护作用[J].中国病理生理杂志,2001,17(1):43-45.
[12]Sakotnik A,Liebmannt P M,Stoschitzky K,et al.De-creased melatonin synthesis in patients with coronaryartery disease[J].European Heart Jouranl,1999,20(18):1314-1317.
[13]陈丽华,梁国芬.冠心病患者血清褪黑素的变化[J].临床心血管病杂志,2004,5(5):261-262.
[14]信欣,钟秀宏,赵莹莹.冠心病患者睡眠障碍原因分析及心理护理对策[J].中国社区医师(医学专业),2012(2):310-312.
[15]王丽娜,赵岳,周郁秋,等.冠心病住院失眠患者心理行为干预的效果分析及模型构建[J].护士进修杂志,2011,26(17):1542-1545.
[16]Kripke D F,Garfinkel L,Wingard D L,et al.Mortality associated with sleep duration and insomnia[J].Archives of General Psychiatry 2002,59(2):131-136.
[17]Hattori M,Azami Y.Searching for preventive measures of cardiovascular events in aged Japanese taxi drivers the daily rhythm of cardiovascular risk factors during a night duty day[J].Journey of Human Ergolgy(Tokyo),2001,30(1-2):321-326.
[18]王卓,蔡刚,张会琴,等.参松养心胶囊治疗冠心病合并失眠症的临床观察[J].中医学报,2011,26(11):1363-1364.
[19]任雪英,张翠萍.参松养心胶囊治疗冠心病失眠的疗效观察[J].临床医药实践,2011,20(6):445-447.
[20]汪玲,刘峰,戴小华.刺五加注射液改善冠心病患者的心理因素临床观察[J].中国中医急症,2008,17(10):1399-1411.
[21]王坚.还魂汤治疗冠心病心绞痛失眠症临床观察[J].中国当代医药,2010,17(7):100-101.
[22]任德旺,杨澈,任仲玉,等.建瓴汤治疗冠心病伴失眠症临床观察[J].内科,2011(6):563-564.
[23]李成芹.热浸酸枣仁治疗冠心病失眠患者60例护理体会[J].泰山医学院学报,2010(6):473-474.
[24]王定奇.酸枣仁汤治疗冠心病失眠的体会[J].中国中医药现代远程教育,2011,9(3):169-170.
基本信息:
DOI:10.16295/j.cnki.0257-358x.2014.01.008
中图分类号:R256.23
引用信息:
[1]李亚茹,于杰,庄贺,等.失眠与冠心病关系初探[J].山东中医杂志,2014,33(01):14-16.DOI:10.16295/j.cnki.0257-358x.2014.01.008.
2014-01-05
2014-01-05