顽固性肝硬化腹水的中西医结合诊治述评  

Review and commentary of refractory cirrhotic ascites with diagnosis and treatment of integrative medicine

作　　者：邢枫 雷淑娟[1,2] 蒋艳明 王静[1] 刘成海 XING Feng;LEI Shujuan;JIANG Yanming;WANG Jing;LIU Chenghai(Institute of Liver Diseases,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Hepatology,Shuguang Hospital Affiliated to Shanghai University ofTraditional Chinese Medicine,Shanghai 201203,China;Department of Infectious Disease(Hepatology),The AffiliatedHospital of Hangzhou Normal University,Hangzhou,Zhejiang 310015,China;Key Laboratory of Liver and KidneyDiseases,Ministry of Education,Shanghai 201203,China;Shanghai Key Laboratory of Traditional Chinese ClinicalMedicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院肝病研究所,上海201203 [2]上海中医药大学附属曙光医院肝病科,上海201203 [3]杭州师范大学附属医院感染性疾病(肝病)科,浙江杭州310015 [4]肝肾疾病病证教育部重点实验室,上海201203 [5]上海市中医临床重点实验室,上海201203

出　　处：《上海中医药杂志》2023年第8期16-20,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫健委临床重点专科建设项目(shslczdzk01201)。

摘　　要：肝硬化腹水属于中医学“臌胀”范畴,现代医学将其分为普通型及顽固型,后者预后极差。本病中医病机为虚实夹杂,虚证多为脾肾阳虚或肝肾阴虚。梳理顽固性肝硬化腹水的中医与西医认识发展情况,介绍现代医学的近期诊疗进展,重点讨论本病的中医药辨治方法及中西医结合诊疗策略,以期提高对本病的认识与管理水平。Cirrhotic ascites belongs to the category of“tympanites”in traditional Chinese medicine(TCM).It is divided into uncomplicated type and refractory type in modern medicine,and the latter has a very poor prognosis.The TCM pathogenesis of cirrhotic ascites is intermingled deficiency and excess,and its deficiency syndrome mainly relates to spleen-kidney yang deficiency or liver-kidney yin deficiency.In this article,we reviewed the improvements in TCM and Western medicine understanding of intractable cirrhotic ascites,introduced the recent progress of diagnosis and treatment in modern medicine,and focused on the TCM syndrome differentiation and treatment and the diagnostic and treatment strategy of integrated medicine in order to improve the understanding and management of cirrhotic ascites.

关 键 词：肝硬化 顽固性腹水 中西医结合 诊断 治疗 述评 

分 类 号：R575.2[医药卫生—消化系统]