中医药治疗产科领域临床优势病种的探讨  

Obstetric Diseases Responding Specifically to Traditional Chinese Medicine

作　　者：王景尚[1] 刘晓巍[1] 王昕[2] 郭兰中 来玉芹 赵峻[5] 何军琴[1] 江雪娟 赫英东[7] 李湛[8] 杨冬[9] 丁玉龙 吴英 高伟 郭淑贞[12] 张苍[13] 朱勇 管斯琪 张霄潇[15] 赵瑞华[16] WANG Jing-shang;LIU Xiao-wei;WANG Xin;GUO Lan-zhong;LAI Yu-qin;ZHAO Jun;HE Jun-qin;JIANG Xue-juan;HE Ying-dong;LI Zhan;YANG Dong;DING Yu-long;WU Ying;GAO Wei;GUO Shu-zhen;ZHANG Cang;ZHU Yong;GUAN Si-qi;ZHANG Xiao-xiao;ZHAO Rui-hua(Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China;The First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine(TCM),Shenyang 110032,China;The Women and Children Hospital of Dongyang,Dongyang 322100,China;Liuzhou Maternity and Child Healthcare Hospital,Liuzhou 545001,China;Peking Union Medical College Hospital,Beijing 100730,China;Zhejiang Integrated Traditional and Western Medicine,Hangzhou 310003,China;Peking University First Hospital,Beijing 100034,China;Beijing Chao-yang Hospital,Capital Medical University,Beijing 100043,China;Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Beijing Fengtai Hospital of integrated Traditional and Western Medicine,Beijing 100072,China;Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of TCM,Capital Medical University,Beijing 100010,China;Committee of Appropriate Health Technology of TCM,China Association of Chinese Medical,Beijing 100061,China;China Association of Chinese Medicine,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]首都医科大学附属北京妇产医院,北京100026 [2]辽宁中医药大学附属医院,沈阳110032 [3]东阳市妇女儿童医院,浙江东阳322100 [4]柳州市妇幼保健院,广西柳州545001 [5]北京协和医院,北京100730 [6]浙江省中西医结合医院,杭州310003 [7]北京大学第一医院,北京100034 [8]首都医科大学附属北京朝阳医院,北京100043 [9]首都医科大学附属北京安贞医院,北京100029 [10]北京市丰台区中西医结合医院,北京100072 [11]首都医科大学附属北京世纪坛医院,北京100038 [12]北京中医药大学,北京100029 [13]首都医科大学附属北京中医医院,北京100010 [14]中国中药协会中医药适宜技术专业委员会,北京100061 [15]中华中医药学会,北京100029 [16]中国中医科学院广安门医院,北京100053

出　　处：《中国实验方剂学杂志》2021年第20期206-218,共13页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：北京市优秀人才培养资助项目(2015000021469G216);北京市医管局青苗人才计划项目(QML20171403)。

摘　　要：近年,随着生活和社会环境的改变及我国生育政策的调整,高危孕产妇比例显著增加,产科疾病谱不断变化,给产科医生带来了新的挑战和治疗难题。中医药对多种产科疾病具有明确疗效,且治疗方法多样,为产科疑难疾病的解决提供了可供选择的手段,但目前临床参与度和作用发挥不足。为此,中华中医药学会组织邀请了产科临床一线的西医与中医青年优秀专家,围绕妊娠剧吐、先兆流产、异位妊娠、妊娠咳嗽、妊娠期高血压疾病、母儿血型不合、产后缺乳、宫腔妊娠组织物残留、产褥感染、产后身痛、剖宫产术后切口血肿/愈合不良、产后尿潴留、剖宫产术后肠梗阻、盆底功能障碍性疾病、产后抑郁症等15种产科疾病的中医、中西医结合治疗优势环节进行了深入探讨,提出了优势病种的中西医治疗建议,以期在临床实际诊疗中给患者提供优效、个性化的治疗方案,提高产科疾病的诊疗效果,惠及大众。同时,期望更多产科临床医生了解中医的治疗效应及优势、中西借鉴、沟通融合,继而建立具有我国特色的产科诊疗体系。In recent years,with the change in life style,social environment,and national childbearing policy,the proportion of high-risk pregnant women has increased significantly,triggering the spectrum of obstetric diseases to constantly change,which has brought new challenges to the diagnosis and treatment of obstetrics. Traditional Chinese medicine(TCM)has been proved effective in dealing with a variety of obstetric diseases, and various treatment methods are available, which can serve as alternative means for solving refractory obstetric diseases. However,most obstetric clinicians are currently less aware of the therapeutic effects of TCM, which has significantly hindered its participation in clinical treatment. Therefore, the China Association of Chinese Medicine(CACM)organized the outstanding young obstetricians of TCM and western medicine to discuss 15 obstetric diseases responding specifically to TCM or integrated TCM and western medicine,including hyperemesis gravidarum,threatened abortion,ectopic gestation,cough during pregnancy,pregnancy-induced hypertension syndrome, maternal-fetal ABO incompatibility, postpartum hypogalactia,residual pregnancy tissue in uterine cavity,puerperal infection,pantalgia after childbirth,hematoma/undesirable healing after caesarean section, postpartum urinary retention, ileus after cesarean section, pelvic floor dysfunction,and postnatal depression. The suggestions for their treatment with TCM or integrated TCM and western medicine were also proposed,aiming to provide patients with effective and personalized treatments in clinical practice and improve the diagnosis and treatment effects of obstetric diseases,thus benefiting the public.At the same time,more obstetrical clinicians are expected to understand the therapeutic effects and advantages of TCM and draw on the strengths of both TCM and western,thereby promoting the establishment of an obstetric diagnosis and treatment system with Chinese characteristics.

关 键 词：产科 中医药优势病种 专家指导建议 

分 类 号：R242[医药卫生—中医临床基础] R2-0[医药卫生—中医学]