基于“心肺相关”探讨射血分数保留心力衰竭的“心肺同治”

Cardiopulmonary Co-Treatment on Heart Failure with Preserved Ejection Fraction Based on Concept of Cardiopulmonary Correlation DONG Guo-ju Xiyuan Hospital of China Academy of Chinese Medical Sciences，National Clinical Research Center for Chinese Medicine Cardiology，Beijing（100091）

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DOI：10.7661/j.cjim.20220318. 040

中文关键词: 心肺相关射血分数保留的心力衰竭心肺同治

英文关键词:cardiopulmonary correlation heart failure with preserved ejection fraction cardiopulmonary treatment

基金项目:国家自然科学基金面上项目（No.82074423）;中国中医科学院科技创新重大攻关项目（No.C12021A00903）

作者	单位
董国菊	中国中医科学院西苑医院，国家中医心血管病临床医学研究中心（北京 100091）

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中文摘要:

心肺相关理念是中医学整体观念和西医整合医学观念的体现，心肺生理功能上相关，病理变化上相互影响。射血分数保留心力衰竭占目前心力衰竭发病的半数以上，其整个发病过程以“心病及肺，肺病及心，心肺相关”为主。本文基于“心肺相关”理念，分别从中、西医学角度分析射血分数保留心力衰竭“心肺相关”的病机特点，并探讨射血分数保留心力衰竭的“心肺同治”思路，以期为中西医结合治疗射血分数保留心力衰竭提供理论依据。

英文摘要:

The concept of cardiopulmonary correlation is the embodiment of holistic concept of Chinese medicine（CM）and holistic integrative medicine. Cardiopulmonary physiological function is related， while pathological changes affect each other. At present， heart failure with preserved ejection fraction（HFpEF） accounts for more than half of the incidence of heart failure. Its whole pathogenesis is mainly "heart disease to lung， lung disease to heart， heart and lung related". Based on the concept of "cardiopulmonary correlation"， this paper analyzes the pathogenesis characteristics of "cardiopulmonary correlation" of HFpEF from the perspective of CM and Western medicine， and discusses the idea of "cardiopulmonary treatment" on HFpEF， which aims to provide a theoretical basis for the treatment of HFpEF with integrated traditional Chinese and Western medicine.

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