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肺结节的中医研究进展

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肺结节是呼吸系统中较为常见疾病之一,肺部影像上常表现为各种大小、边缘清楚或模糊、直径不超过3厘米的局灶性圆形致密、磨玻璃或混杂影,中医学多归属为"肺积""息贲""窠囊""痰核""肺痹"等范畴。近些年来,伴随着高分辨率CT的不断普及和民众体检意识的不断提高,肺结节的检出率也随之增加,关于肺结节的中西医相关研究亦不断深入,为肺结节的临床诊断和治疗提供重要的参考价值。现代医学对于肺结节处理方式主要是根据结节风险评估程度制定不同时间的随访策略,必要时可予活检穿刺或手术切除治疗。而相比随访期间的无干预模式或部分抗菌药物盲目滥用,中医药参与为肺结节的治疗提供一条良好干预途径。文章系统总结并梳理肺结节的中医病名、主要病因以及中医临证理论,并对肺结节进一步总结和展望,以更好发挥中医药干预治疗肺结节的优势。
Advances in Traditional Chinese Medicine Research on Pulmonary Nodules
Pulmonary nodules are one of the more common diseases in the respiratory system,and the lung images often ap-pear as focal circular dense,ground-glass or mixed shadows of various sizes,clear or blurred edges,and no more than 3 cm in di-ameter.In recent years,with the continuous popularization of high-resolution CT and the continuous improvement of people's awareness of physical examination,the detection rate of pulmonary nodules has also increased,and the research on pulmonary nodules related to traditional Chinese and western medicine has also been deepened,providing important reference value for the clinical diagnosis and treatment of pulmonary nodules.Modern medicine mainly formulates follow-up strategies for pulmonary nodules at different times according to the degree of nodule risk assessment,and biopsy or surgical resection if necessary.Com-pared with the non-intervention mode or the blind abuse of some antimicrobial drugs during the follow-up period,the participa-tion of traditional Chinese medicine provides a good way to intervene for pulmonary nodules,so this paper systematically summari-zes and sorts out the traditional Chinese medicine disease names,main causes and clinical theories of pulmonary nodules,and fur-ther summarizes and prospects for pulmonary nodules,so as to better play the advantages of Traditional Chinese Medicine inter-vention in the treatment of pulmonary nodules.

pulmonary nodulesdisease namesetiologytheories of traditional Chinese medicineresearch progress

郁文越、朱佳、张传名、陈永昶

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南京中医药大学,江苏南京 210029

南京中医药大学扬州附属医院,江苏扬州 225009

肺结节 病名 病因 中医理论 研究进展

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(11)