补气摄血法防治脑梗死溶栓后出血转化探析

刘深; 张兆旭; 高颖

doi:10.16025/j.1674-1307.2022.07.005

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补气摄血法防治脑梗死溶栓后出血转化探析

专题——中医脑病学科的现代临床与基础研究 | 更新时间：2023-02-15

- 补气摄血法防治脑梗死溶栓后出血转化探析
- Study on traditional Chinese medicine tonifying Qi to control blood flow therapy for preventing and treating hemorrhagic transformation after thrombolysis in ischemic stroke
- 北京中医药 2022年41卷第7期页码：725-727
- 作者机构：
  
  1.北京中医药大学东直门医院脑病科,北京100700
  2.北京中医药大学中医脑病研究院,北京100700
  3.北京大学人民医院神经内科,北京100044
- 作者简介：
  
  刘深，男，35岁，博士，主治医师。研究方向：脑血管病的中医药防治研究。
  高颖，E-mail：gaoying973@126.com
- 基金信息：
  
  中国博士后科学基金资助项目(2022T150070);国家自然科学基金资助项目(82004323;81303013)
- DOI：10.16025/j.1674-1307.2022.07.005
  中图分类号：
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刘深，张兆旭，高颖.补气摄血法防治脑梗死溶栓后出血转化探析［J］.北京中医药，2022，41（7）：725-727.

LIU Shen,ZHANG Zhao-xu,GAO Ying.Study on traditional Chinese medicine tonifying Qi to control blood flow therapy for preventing and treating hemorrhagic transformation after thrombolysis in ischemic stroke[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(07):725-727.
刘深，张兆旭，高颖.补气摄血法防治脑梗死溶栓后出血转化探析［J］.北京中医药，2022，41（7）：725-727. DOI： 10.16025/j.1674-1307.2022.07.005.

LIU Shen,ZHANG Zhao-xu,GAO Ying.Study on traditional Chinese medicine tonifying Qi to control blood flow therapy for preventing and treating hemorrhagic transformation after thrombolysis in ischemic stroke[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(07):725-727. DOI： 10.16025/j.1674-1307.2022.07.005.

摘要

出血转化是脑梗死溶栓后的常见并发症之一，症状性出血转化已被明确证实是与脑梗死不良预后密切相关的重要因素，而目前临床尚无明确有效的防治措施。本文从中医理论探讨脑梗死溶栓后出血转化的病机，提出“破瘀耗气、气虚不摄”是其发生的核心病机，离经之血即瘀血，乃脑梗死溶栓后气虚不摄的结果。基于此病机，确立了补气摄血是脑梗死溶栓后出血转化的防治原则，并在该治法的基础上针对离经之瘀血配合应用益气化瘀法，为中医药防治该病变提供新策略。

Abstract

关键词

脑梗死溶栓后出血转化补气摄血法中医病机防治策略

Keywords

references

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