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中西医协同治疗重症急性胰腺炎的进展述评

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重症急性胰腺炎(severe acute pancreatitis,SAP)是急性胰腺炎(acute pancreatitis,AP)最严重的一种类型,常伴发全身炎症反应综合征以及多脏器功能衰竭。本病致病因素十分复杂,发病机制尚不完全明确,具有起病急、进展快、并发症多、治疗时间长、致死率高等特点。单纯使用中药或西药治疗仍难以完全控制疾病进展及改善预后,中西医协同在SAP治疗中显示一定优势。本文对近些年来中西医协同治疗SAP的研究进行归纳总结,结合西医发病机制、中医病机和中西医治疗研究现状等予以探讨,并浅析基于中西医病机融通下SAP中西医协同治疗的切入点,证实中西医协同治疗SAP具有合理性、可靠性、有效性、发展性等优势。未来进一步努力探索SAP的中西医协同治疗当是颇具价值的研究方向。
A review on the progress of Chinese and Western medicine in the treatment of severe acute pancreatitis
Severe acute pancreatitis(SAP)is the most serious type of acute pancreatitis(AP),which is often accompanied by systemic inflammatory response syndrome and multiple organ failure.The pathogenic factors of this disease are very complex,and the pathogenesis is not completely clear.It has the characteristics of acute on-set,rapid progress,many complications,long treatment time and high mortality.It is still difficult to completely control the disease progression and improve the prognosis by using traditional Chinese medicine or Western medi-cine alone.The combination of traditional Chinese and Western medicine shows certain advantages in the treat-ment of SAP.This article summarizes the research on the collaborative treatment of SAP with traditional Chinese and Western medicine in recent years,discusses the pathogenesis of Western medicine,the pathogenesis of tradi-tional Chinese medicine and the research status of traditional Chinese and Western medicine treatment,and analy-zes the entry point of SAP collaborative treatment of traditional Chinese and Western medicine based on the inte-gration of traditional Chinese and Western medicine pathogenesis.It is confirmed that the collaborative treatment of SAP with traditional Chinese and Western medicine has the advantages of rationality,reliability,effectiveness and development.In the future,it is a valuable research direction to further explore the synergistic treatment of SAP with Chinese and Western medicine.

severe acute pancreatitisChinese and Western medicine collaborationprogresscommentary

谢胜、严静、黎丽群、王光耀、刘礼剑

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广西中医药大学第一附属医院脾胃病科(南宁,530023)

广西中医药大学研究生院

重症急性胰腺炎 中西医协同 进展 述评

广西重点研发项目国家中医药管理局高水平中医药重点学科建设项目广西中医药重点研究室建设项目广西岐黄学者培养项目

桂科AB23026098zyyzdxk-2023167桂中医药科教发[2023]9号2022015-003-01

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(2)
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