中医药治疗脓毒症领域临床优势的探讨  

Expert Consensus on Sepsis Responding Specifically to Traditional Chinese Medicine

作　　者：孔令博[1] 晏军[1] 张迪 吴彩军 李涛[2] 蓝海涛[3] 刘景峰[4] 蔡阳平[1] 王烁 郭楠[1] 徐霄龙[6] 何莎莎[6] 郭淑贞[7] 王伽伯 钱莹 张霄潇[9] 刘清泉[5] KONG Ling-bo;YAN Jun;ZHANG Di;WU Cai-jun;LI Tao;LAN Hai-tao;LIU Jing-feng;CAI Yang-ping;WANG Shuo;GUO Nan;XU Xiao-long;HE Sha-sha;GUO Shu-zhen;WANG Jia-bo;QIAN Ying;ZHANG Xiao-xiao;LIU Qing-quan(Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China;China-Japan Friendship Hospital,Beijing 100029,China;Guang'anmen Hospital China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Beijing Hospital of Traditional Chinese Medicine(TCM)Affiliated to Capital Medical University,Beijing 100010,China;Beijing Institute of TCM,Beijing 100010,China;Beijing University of Chinese Medicine,Beijing 100029,China;School of Chinese Medicine,Capital Medical University,Beijing 100069,China;China Association of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]中日友好医院,北京100029 [3]中国中医科学院广安门医院,北京100053 [4]首都医科大学附属北京友谊医院,北京100050 [5]首都医科大学附属北京中医医院,北京100010 [6]北京市中医研究所,北京100010 [7]北京中医药大学,北京100029 [8]首都医科大学中医药学院,北京100069 [9]中华中医药学会,北京100029

出　　处：《中国实验方剂学杂志》2022年第5期211-218,共8页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：北京中医药大学东直门医院2020年度科技创新专项(DZMKJCX-2020-027)。

摘　　要：脓毒症严重威胁人类健康,为充分发挥中医药在脓毒症领域的疗效优势,明确中西医结合切入点,进一步规范中医临床诊疗,制定出中医西医公认的、融合的诊疗方案,提高治疗脓毒症的临床疗效,中华中医药学会组织中西医脓毒症领域专家围绕针对脓毒症这一具有代表性的急危重症,围绕中医对脓毒症病因病机的认识、中医与中西医结合治疗优势环节等方面进行了深入探讨。强调了正虚邪实的病机特点,总结了中药在纠正炎症反应失衡、改善凝血功能障碍、减轻脏器损伤等环节的作用,提出了中西医治疗建议,为临床实际诊疗与科学研究提供参考依据和有益借鉴。To give full play to the therapeutic advantages of traditional Chinese medicine(TCM)in sepsis,clarify the entry point of integrated TCM and western medicine,further standardize the clinical treatment of TCM,develop a recognized and integrated treatment protocol of TCM and western medicine,and improve the clinical efficacy on sepsis,the Chinese Association of Chinese Medicine organized TCM and western medicine experts specialized in sepsis treatment to conduct in-depth discussions on the advantages of TCM and integrated TCM and western medicine in the treatment of sepsis based on the TCM etiology and pathogenesis of sepsis,a representative acute and critical disease. They emphasized the pathogenesis characteristics of asthenia of healthy Qi and sthenia of pathogenic factors and summarized the roles of Chinese medicine in correcting the imbalance of inflammatory response,improving blood coagulation dysfunction,and relieving organ damage.Furthermore, they proposed the treatment protocol with integrated TCM and western medicine, which is expected to provide references for actual clinical treatment and scientific research.

关 键 词：脓毒症 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]