中医药治疗不稳定型心绞痛的研究现状及进展
Research Status and Progress of Traditional Chinese Medicine in the Treatment of Unstable Angina Pectoris

随着社会经济的飞速发展，居民的生活方式也发生了很大的变化，尤其是在人口老龄化和城市化进程加快的情况下，冠心病发病率逐年升高，对个人和社会造成了很大的经济负担。不稳定性心绞痛(UA)是介于急性心肌梗死和稳定心绞痛之间的一种疾病。冠状动脉粥样硬化(AMI)是冠心病的主要病理特征之一，冠状动脉内膜下出血，斑块破裂，血小板聚集形成血栓，冠状动脉痉挛，远端小血管血栓形成，引起亚急性心肌缺血/低氧，其病死率远高于稳定型冠心病。目前临床上主要采用抗心肌缺血、抗栓、抗抑郁、补充激素和对症治疗，但还存在一些不足，如患者易发生胃肠不适，易发生乳腺癌等。近几年来，我国传统医学采用中药配合针灸等疗法，对绝经后不稳定的心绞痛有较好的疗效。本文将对其进行一一阐述。
With the rapid development of social economy, the lifestyle of residents has also undergone great changes, especially with the acceleration of population aging and urbanization, the incidence rate of coronary heart disease has increased year by year, which has caused great economic burden to individuals and society. Unstable angina (UA) is a disease that falls between acute myocardial infarction and stable angina. Coronary atherosclerosis (AMI) is one of the main pathological characteristics of coronary heart disease. Subintimal hemorrhage of coronary artery, plaque rupture, platelet aggregation and thrombosis, coronary artery spasm, distal small vessel thrombosis, cause subacute myocardial ischemia/hypoxia, and its mortality is far higher than that of stable coronary heart disease. At present, anti myocardial ischemia, antithrombotic, antidepressant, hormone supplementation and symptomatic treatment are mainly used clinically, but there are still some shortcomings, such as patients are prone to gastrointestinal discomfort, breast cancer and so on. In recent years, traditional Chinese medicine in combination with acupuncture and moxibustion and other therapies has been used in our country, which has a good effect on postmenopausal unstable angina pectoris. This article will elaborate on them one by one.