中西医结合治疗胰腺炎的现状与展望

崔乃强; 崔云峰; 张淑坤

doi:10.3969/j.issn.1001-5256.2017.05.010

中西医结合治疗胰腺炎的现状与展望

DOI: 10.3969/j.issn.1001-5256.2017.05.010

1. 天津市南开医院肝胆胰第一外科
2. 天津市中西医结合急腹症研究所分子生物学研究室

详细信息

中图分类号: R576
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出版历程
- 收稿日期: 2017-02-08
- 出版日期: 2017-05-20

Current status and perspectives of integrated traditional Chinese and Western medicine therapy for pancreatitis

First Department of Hepatopancreatobiliary Surgery, Tianjin Nankai Hospital

摘要

摘要: 中西医结合治疗胰腺炎始自20世纪60年代,根据胰腺炎的临床表现和中医辨证将胰腺炎定名为"脾心痛"。对急性胰腺炎进行辨证分型,采用大柴胡汤加减方进行治疗,获得了良好的临床效果。1990年以后,胰腺炎的研究重点转向重症急性胰腺炎,将重症急性胰腺炎的病期分为三期,给予不同治疗方案,在治愈率和病死率的临床研究中均取得了不错的疗效。2000年以后,系统开展了慢性胰腺炎的中西医结合阶梯治疗,使中药、内镜、手术疗法彼此配合、相互补充,在疼痛控制、营养状况、并发症发生等方面有了极大改善。
- 胰腺炎 /
- 中西医结合疗法
Abstract: Integrated traditional Chinese and Western medicine therapy for pancreatitis has been used since the 1960s.According to the clinical manifestations and traditional Chinese medicine (TCM) syndrome differentiation of pancreatitis, pancreatitis was named “true heart pain with cold limbs caused by spleen disease”.Syndrome differentiation of acute pancreatitis and treatment with modified Dachaihu decoction achieved good clinical effects.After the 1990 s, the research focus of pancreatitis research was shifted to severe acute pancreatitis (SAP) .The clinical course of SAP was divided into three phases, and different therapeutic regimens were given.Clinical studies achieved good therapeutic effects in terms of cure rate and fatality rate.After 2000, integrated traditional Chinese and Western medicine therapy for chronic pancreatitis has been promoted systemically, and the cooperation between traditional Chinese medicine, endoscopic techniques, and operative treatment helps to significantly improve pain control, nutritional status, and incidence of complications.
- pancreatitis /
- TCM WM therapy

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参考文献(24)

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