慢性心衰伴发贫血的中医治疗探讨
周巍;赵英强;
摘要(Abstract):
慢性心力衰竭患者多有伴发贫血,中医辨证主要与心脾肾三脏相关。心气、心血亏虚,气阳两虚,水液失于温化,留聚体内形成水饮;脾虚气血生化乏源,加之脾虚失于统血,血不循经溢出脉外,加重了血虚之证;肾虚精髓不充,精血无以化生,肾脏失司,水液泛滥。因此治疗上应注重益气温阳,健脾补肾。
关键词(KeyWords): 心力衰竭;贫血;调和气血;平衡阴阳
基金项目(Foundation):
作者(Author): 周巍;赵英强;
Email:
DOI: 10.13463/j.cnki.jlzyy.2010.01.005
参考文献(References):
- [1]SilverbergDS,WexlerD,BlumM,et,al.The use of subcutaneous erythropoietin and intravenous iron for the treatment of the anemia of severe,resistant congestive heart failure improves cardiac and renal function and functional cardiac class,and markedly reduces hospitalizations[J].J Am Coll Cardio.2000,35(7):1737-1744.
- [2]叶长青,郑兴.住院慢性心衰患者贫血患病率与心功能的关系及血红蛋白浓度对其住院死亡率的影响[J].第二军医大学学报.2006,27(9):977-98.
- [3]焦震宇,王树岩,陈瑾,等.促红细胞生成素对老年心力衰竭合并贫血患者肾功能及N末端前脑钠肤的影响.中华老年多器官疾病杂志[J].2008.7(5):361-362.
- [4]李高兴,李南夷.益气温阳活血利水治疗充血性心力衰竭略述[J].中医药学刊,2006,24(9):1698.
- [5]SilverbergDS,WexlerD,Iaina A.The importance of anemia and its correction in the management of severe congestive heart failure [J].Eur J Heart Fail,2002,4(6):681-686.
- [6]高艳玲,林宏扬,葛志明.心力衰竭性贫血的研究[J].中国老年学杂志,2004,24(11):1088-1090.