医学研究与教育 ›› 2026, Vol. 43 ›› Issue (4): 50-57.DOI: 10.3969/j.issn.1674-490X.2026.04.006

• 中医药学 • 上一篇    

经桡动脉路径行冠状动脉介入治疗并发桡动脉痉挛的中医药诊治进展

张林猛1,邱艳艳2,孙桂芳1,刘肖林1,王炳华1   

  1. 1.滨州市中心医院心血管内科一病区, 山东 滨州 251700;
    2.滨州市中心医院康复医学科, 山东 滨州 251700
  • 收稿日期:2026-05-08 发布日期:2026-09-02
  • 通讯作者: 孙桂芳(1977—),女,山东海阳人,硕士,副主任医师,主要从事心血管疾病的临床与基础研究。E-mail: 15964071937@163.com
  • 作者简介:张林猛(1981—),男,山东阳信人,硕士,主治医师,主要从事冠状动脉粥样硬化性心脏病的中西医结合临床研究。 E-mail: 449278387@qq.com
  • 基金资助:
    滨州市医药卫生科技项目(BW20250057)

Advances in the diagnosis and treatment of radial artery spasm complicating transradial coronary intervention with traditional chinese medicine

Zhang Linmeng1, Qiu Yanyan2, Sun Guifang1, Liu Xiaolin1, Wang Binghua1   

  1. 1.Department of cardiovascular Medicinel, Binzhou Central Hospital, Binzhou 251700, China; 2.Department of Rehabilitation Medicine, Binzhou Central Hospital, Binzhou 251700, China
  • Received:2026-05-08 Published:2026-09-02

摘要: 近年来,中医药在经桡动脉路径行冠状动脉介入治疗(transradial coronary intervention,TRI)围手术期防治桡动脉痉挛(radial artery spasm,RAS)领域的研究越来越深入,展现出多层次、多靶点干预的独特优势。旨在系统总结中医药防治TRI并发RAS的最新研究成果,重点阐述中西医对RAS病理机制的新认识、中医药防治策略的循证医学证据更新以及中西医结合创新模式。通过整理最新文献,分析当前研究优势和不足之处,对未来开展高质量临床研究、深化作用机制以及技术创新方面进行展望。

关键词: 桡动脉路径, 冠状动脉介入治疗, 桡动脉痉挛, 中医药

Abstract: In recent years, the research and clinical practice of traditional Chinese medicine(TCM)to prevent and treat radial artery spasm(RAS)of patients in perioperation of transradial coronary intervention(TRI)have become deeper and deeper, with unique advantages of multi-level intervention and multi-target intervention. This article will summarize the latest achievements in TCM in the prevention and treatment of RAS complicating TRI, including the latest understanding of RAS pathogenesis in Chinese medicine and Western medicine, latest development of evidence-based methods for TCM prevention and treatment, new integrated Chinese-Western innovative models and so on. This article explains the pros and cons of current research, and provides perspectives for conducting high-quality clinical research, exploring mechanisms of action and technological innovation, providing practical information for clinicians, and the development of this discipline.

Key words: radial artery access, coronary intervention, radial artery spasm, traditional Chinese medicine

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