首页|胃内镜黏膜下剥离术后人工溃疡的中医病机和治法探讨

胃内镜黏膜下剥离术后人工溃疡的中医病机和治法探讨

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尽管内镜技术在不断的发展,但是胃内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)术后人工溃疡的修复以及并发症的防治是当前治疗的"模糊地带".从中医角度理解,该病可归属于"胃脘痛""胃疡""嘈杂"等范畴.目前中医认为该病的核心病机以及演变规律可概括为"正气不足、淤毒内结、热盛肉腐".在治疗方面,临床医生从不同角度入手,使用经方、自拟方、单药、中成药,有效缓解临床症状及加速溃疡愈合.该文通过对该病的病因病机、中医治疗等方面进行综合整理、归纳,为该病的中医诊治提供新思路,提高临床疗效.
Discussion on TCM Pathogenesis and Treatment of Artificial Ulcers After Gastric Endoscopic Submucosal Dissection
Despite the maturing of endoscopic technology,the treatment of artificial ulcers after endoscopic submucosal dis-section(ESD)and the management of complications is a"fuzzy zone"in the current treatment.Based on traditional Chinese medicine(TCM),the disease can be classified as"epigastric pain","gastric ulcer","clamoring stomach"and so on.The basic TCM pathogenesis of this disease can be summarized as follows,accumulation of blood stasis and toxin due to insufficiency of healthy qi;the blood collaterals were damaged by hyperactivity of heat bringing about rottenness of muscle.In terms of tre-atment,clinicians have used classical prescriptions,self-prepared prescriptions,single drugs,and ready-prepared Chinese medicines from different perspectives to effectively relieve the clinical symptoms and accelerate the healing of ulcers.By summa-rizing the etiology,pathogenesis and TCM treatment of this disease,providing ideas for the Chinese medicine diagnosis and treat-ment of this disease and improving clinical efficacy.

Endoscopic mucosal dissectionArtificial ulcertraditional Chinese medicinePathogenesisTreatment

叶露、倪思忆、刘勇攀、黄秋薇、张馨瑞、钟继红

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桐乡市中医医院,浙江嘉兴 314500

浙江中医药大学附属第二医院,浙江 杭州 310005

内镜黏膜下剥离术 人工溃疡 中医 病机 治疗

浙江省中医药科技计划项目

2023ZL061

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(10)