社区获得性肺炎支气管镜下局部辨证的思路与方法  

Ideas and methods of treating community-acquired pneumonia based on local syndrome differentiation under bronchoscope

作　　者：徐波[1] 范存愈 胡作为[3] 张继先 XU Bo;FAN Cun-yu;HU Zuo-wei;ZHANG Ji-xian(Hubei University of Chinese Medicine,Wuhan 430065,China;Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan 430015,China;Wuhan No,1 Hospital,Wuhan 430022,China)

机构地区：[1]湖北中医药大学,武汉430065 [2]湖北省中西医结合医院,武汉430015 [3]武汉市第一医院,武汉430022

出　　处：《中华中医药杂志》2022年第10期5828-5831,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖北省卫生健康委2021-2022年度中医卫生健康科研重点项目(No.ZY2021Z020)。

摘　　要：社区获得性肺炎(CAP)发病率高,目前细菌耐药构成了临床的重要挑战。中医药对肺部感染性疾病的治疗有其优势,但是临床上基于望、闻、问、切进行收集四诊资料有时亦有其局限性。通过支气管镜可延申拓展中医望诊的范围,直接观察下呼吸道局部黏膜特征和痰液性状,可进行局部辨证。以CAP支气管镜下局部辨证的思路与方法为切入点,提高辨证准确性及中医药疗效,对重症肺炎的治疗及减少肺部感染性疾病的抗生素耐药具有重要临床意义。The high incidence of community-acquired pneumonia(CAP) and bacterial resistance present a major clinical challenge. Traditional Chinese medicine has its advantages in the treatment of pulmonary infectious diseases, but the clinical data collection based on vision, smell, interrogation, and palpation sometimes has its limitations. Bronchoscopy can directly observe the local mucosal and sputum characteristics of the lower respiratory tract;and local syndrome differentiation can be carried out according to the theory of traditional Chinese medicine. It is great clinical significance for the treatment of severe pneumonia and the reduction of antibiotic resistance of pulmonary infectious diseases to improve the accuracy of syndrome differentiation;and the curative effect of Chinese medicine by taking local syndrome differentiation under CAP bronchoscopy as the entry point.

关 键 词：支气管镜 局部辨证 社区获得性肺炎 耐药 思路与方法 

分 类 号：R259[医药卫生—中西医结合]