中医药治疗胆囊息肉样病变研究概述  

Summary of Traditional Chinese Medicine Treatment of Polypoid Lesions of Gallbladder

作　　者：杨倩[1] 杜朋丽 赵丹阳[2] 谷诺诺 张娜[2] 

机构地区：[1]河北省中医院,河北石家庄050011 [2]河北医科大学,河北石家庄050017

出　　处：《河南中医》2017年第4期739-741,共3页Henan Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(编号:2012032)

摘　　要：多数医家从血瘀论治胆囊息肉,认为息肉乃瘀血所化生,一些医家也从气、湿、痰、毒等病理角度论治胆囊息肉,采用中医药治疗胆囊息肉疗效确切,在治疗方面取得了很大的进展,充分说明了中医药治疗胆囊息肉的优势和潜力。与西医手术治疗相比,中医药优势明显,避免了术中创伤及术后各种并发症,提高了患者的生活质量。但中医药治疗胆囊息肉仍处于初期阶段,不同医家对病因病机、辨证分型、疗效判定未形成统一标准;不同文献报道之间的可比性差,降低了疗效的可信度;很多文献报道仅局限于临床经验的总结,未进行系统的实验验证;临床观察存在"短期行为",缺乏前瞻性研究。因此,在此后的工作中,除了总结临床经验,还应该规范病因病机、辨证分型、疗效判定的标准,使不同组方之间的治疗效果具有可比性;开展更多的前瞻性、多中心、大样本临床实验研究,筛选特效药,从而不断提高临床疗效。In terms of gallbladder polyps,most of the doctors think that it is due to blood stasis. Some doctors think that it has something to do with qi,dampness,phlegm,toxicity and other pathological factors,so they use TCM to treat gallbladder polyps and achieve very good efficacy and improvement,which shows the advantages and potential of TCM in the treatment of gallbladder polyps. Compared with Western medicine operation treatment,TCM has obvious advantages,can avoid the complications and improve the quality of life of patients. But the traditional Chinese medicine in the treatment of gallbladder polyps is still in the early stages,different physicians have not formed a unified standard of the etiology and pathogenesis,syndrome differentiation,therapeutic efficacy evaluation. The poor comparability among different reports reduces the credibility of the total effectiveness. Many reports in the literature are limited to clinical experience summaries without systematic experimental verification. Clinical observation belongs to ＂ short-term behavior＂,and lacks prospective studies. Therefore,in the future work,in addition to summing up clinical experience,we should not only regulate standards of the etiology and pathogenesis,syndrome differentiation,therapeutic effect to make different prescriptions＇ efficacies comparable,but also carry out more prospective,multi-center,large-sample clinical studies,screen specific drugs so as to improve the clinical curative effect.

关 键 词：胆囊息肉样病变 气滞 血瘀 湿邪 痰结 浊毒 中药 

分 类 号：R259.756[医药卫生—中西医结合]