宋爱英教授辨证治疗肺癌术后喉返神经麻痹经验总结  

Professor Song Aiyin’s experience in treating recurrent laryngeal nerve paralysis after lung cancer surgery based on syndrome differentiation

作　　者：孔佑虔 宋爱英[2] KONG Youqian;SONG Aiying(Graduate School,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150040,China;Department of Oncology,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院肿瘤科,黑龙江哈尔滨150040

出　　处：《中国医药导报》2022年第25期129-132,140,共5页China Medical Herald

基　　金：黑龙江省应用技术研究与开发计划项目(GA19 C109)。

摘　　要：喉返神经麻痹是肺癌术后常见并发症,其病机复杂,病情缠绵难愈,严重影响患者生活质量。宋爱英教授是黑龙江省名中医,对肺癌术后喉返神经麻痹的诊疗有丰富的临床经验,归纳本病病机为金创外伤、喉脉受损,致气虚血瘀、喉窍失养。提出益气散瘀、攻补兼施的治疗方式。自拟通络开音方,临床疗效良好。笔者跟从宋爱英教授学习,总结其临床诊疗思路,归纳并分享宋爱英教授对肺癌术后喉返神经麻痹的中医辨证思路及治疗心得,并附验案两则进行分析。Recurrent laryngeal nerve paralysis is a common complication after lung cancer surgery.The pathogenesis is complex and its condition is difficult to heal,which seriously affects the quality of life of patients.Professor Song Aiying is a famous traditional Chinese medicine in Heilongjiang Province.She has rich clinical experience in the diagnosis and treatment of recurrent laryngeal nerve paralysis after lung cancer surgery.According to Professor Song Aiying,the disease pathogenesis is incised wound,laryngeal pulse damage,which leads to qi deficiency and blood stasis,and loss of maintenance for laryngeal orifices.Therefore,the treatment method of supplementing qi and dispersing blood stasis,reinforcement and elimination in combination is put forward.The self-made Tongluo Kaiyin Decoction has good clinical effect.The author followed Professor Song Aiying,summarizes her clinical diagnosis and treatment ideas,summarizes and shares Professor Song Aiying’s traditional Chinese medicine syndrome differentiation ideas and treatment experience of recurrent laryngeal nerve paralysis after lung cancer surgery,and analyzes two experimental cases.

关 键 词：宋爱英 肺癌 喉返神经麻痹 喉痹 中医辨证 

分 类 号：R273[医药卫生—中西医结合]