首页|中医药治疗慢传输型便秘的实验研究进展

中医药治疗慢传输型便秘的实验研究进展

扫码查看
慢传输型便秘是临床比较常见的一种疾病,但发病机制尚未被阐明,其病程长、易复发等特点深深地困扰着患者.临床上西药治疗本病虽然见效快,但是患者机体并无器质性损伤,长期服用西药容易产生不良反应和耐药性.中医药作为我国的瑰宝,从便秘的病因病机出发辨证论治本病.在临床治疗中,不仅是单味中药和中药复方,针灸、推拿、艾灸等中医特色疗法治疗慢传输型便秘也取得了显著的进展.随着研究的深入,近几年来关于其治疗机制的实验研究也报道颇多.本研究以"中医药""慢传输型便秘""实验研究"为主要关键词,通过中国知网、万方医学网、中国生物医学文献服务系统等数据库查找近5年来中医药治疗慢传输型便秘的实验研究,对慢传输型便秘的发病机制进行系统总结分析.结果表明,各种中医药疗法可通过调节脑肠肽、肠道菌群、Cajal细胞、水通道蛋白和黏蛋白表达等调节肠道神经系统、改善肠道平滑肌功能,从而促进肠液分泌和肠道蠕动,恢复患者的排便功能.中医药在治疗慢传输型便秘中表现出多靶点、多途径等作用机制,这正是中医药疗法的优势所在,可为深入揭示慢传输型便秘的发病机制提供新思路,为临床治疗提供坚实的科学依据.
A review on the experiment of TCM in the treatment of slow transit constipation
Slow transit constipation is a common clinical disease,but the pathogenesis has not yet been fully expounded,the characteristics such as long duration,easy to relapse deeply disturbed patients.Although Western medicine is effective in the clinical treatment of this disease,the patients'body has no organic damage,and long-term medication is easy to produce adverse reactions and drug resistance.As a treasure of our country,traditional Chinese medicine(TCM)treats constipation according to its etiology and pathogenesis.Not only single Chinese medicine and Chinese medicine compound,but also acupuncture,massage,moxibustion and other TCM characteristic therapies have made remarkable progress in the treatment of slow transit constipation.With the deepening of research,many experimental studies on its therapeutic mechanism have been reported in recent years.With TCM,slow transit constipation and experimental research as the main keywords,this paper searched the experimental research on the treatment of slow transit constipation in TCM in the past five years through CNKI,Wanfang medical network and SinoMed databases,and systematically summarized and analyzed the pathogenesis of slow transit constipation.The results showed that various TCM therapies could regulate the intestinal nervous system and improve the intestinal smooth muscle function by regulating the expression of brain intestinal peptides,intestinal flora,Cajal cells,aquaporins and mucins,thereby promoting intestinal fluid secretion and intestinal peristalsis,and restoring defecation function of patients.TCM shows multi-target,multi-pathway and other action mechanisms in the treatment of slow transit constipation,which is exactly the advantage of TCM.It is expected to provide new ideas for revealing the pathogenesis of slow transit constipation,and provide a solid scientific basis for the clinical treatment.

Slow transit constipationTraditional Chinese medicineExperiment researchBrain intestinal peptideIntestinal flora

徐度天、张虹玺

展开 >

辽宁中医药大学,辽宁 沈阳,110847

辽宁中医药大学附属第三医院,辽宁 沈阳,110005

慢传输型便秘 中医药 实验研究 脑肠肽 肠道菌群

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(32)