传统与创新的桥梁:在急性缺血性中风中为个性化血压管理提供宪法指导的框架
Xuran Zhang1,2, Kegang Cao1, Li Zhou1
1Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in medicine
|July 17, 2025
概括
传统中医 (TCM) 宪法理论为急性缺血性中风 (AIS) 提供了个性化的血压 (BP) 管理. 特定的TCM类型可能受益于密集或保守的BP控制策略,改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 综合医学是一个整体的医学.
- 遗传学和基因组学 遗传学和基因组学
背景情况:
- 在急性缺血性中风 (AIS) 中血压升高 (BP) 复杂化了患者的结果.
- 患者的异质性需要个性化的血压管理策略.
- 传统中医 (TCM) 宪法理论为个性化医学提供了一个新的框架.
研究的目的:
- 将TCM宪法理论融入现代AIS护理中.
- 根据TCM宪法提出个性化的BP管理假设.
- 分析AIS中的TCM构成分布,并将其与临床结果相关联.
主要方法:
- 在九个数据库中对54项研究进行了系统审查和元分析.
- 使用AHRQ检查清单和纽卡斯尔-太华尺度进行质量评估.
- 进行了子组,敏感性和出版偏差分析.
主要成果:
- 在高血压的AIS患者中,液湿度,Qi缺乏,阴缺乏和血液静止构成占主导地位.
- 强大的结果证实了与BP管理需求的宪法类型相关性.
- 提出了一个假设:液湿度/血液静止类型可能受益于密集的血压控制; 缺乏/缺乏类型可能需要保守的策略.
结论:
- 将TCM宪法理论集成到AIS BP管理中,为精密护理提供了一个框架.
- 基于TCM构成的个性化BP管理可能会改善AIS患者的临床结果.
- 需要在多中心队列和机理学研究中进一步验证.
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