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ji yu gai liang de er fei fa dui ji xing xin ji geng si zhong yi zhen liao fang an de diao cha fen xi
Author(s): 
Pages: 1165-1167
Year: Issue:  10
Journal: Research of Traditional Chinese Medicine

Keyword:  急性心肌梗死 辨证治疗 德尔菲法;
Abstract: 目的运用改良德尔菲法进行专家咨询,探讨急性心肌梗死(AMI)再灌注治疗后中医优化诊疗方案。方法在文献调研基础上,对全国中医、中西医结合心血管病专家进行两轮咨询调查,从AMI辨证分型、治法、治疗方案等方面进行咨询。结果共发出问卷20份,收回20份,专家积极系数为100%;AMI的基本证候要素选择频次排列如下:血瘀>气虚>痰浊>阴虚>阳虚>寒凝>气滞。辨证治疗方面选择频次排列如下:气虚血瘀>气虚痰瘀>痰浊痹阻>瘀血闭阻>寒凝心脉>气阴两虚>心阳不振。再灌注治疗后,中医主要治法的选择依次为活血>益气>化痰>温阳>养阴>祛寒>清热解毒。结论气虚血瘀证为AMI的基本证型,痰浊证、阴虚证、阳虚证是重要的证候要素,通过基本证型和单个或多个证候要素的结合,覆盖AMI主要证型。
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