中医药治疗间质性膀胱炎临床研究进展  

Clinical research progress of Chinese medicine in the treatment of interstitial cystitis

作　　者：谭仔龙 沈建武[1] TAN Zilong;SHEN Jianwu(Department of Urology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing100091,China)

机构地区：[1]中国中医科学院西苑医院泌尿外科,北京100091

出　　处：《中国医药导报》2023年第27期55-58,共4页China Medical Herald

基　　金：首都卫生发展科研专项项目(首发2022-3-4176);中国中医科学院西苑医院结余经费再立项课题(ZLX15-43)。

摘　　要：间质性膀胱炎是一种原因不明的慢性非细菌性膀胱炎,临床治疗比较棘手,尿频、疼痛症状反复发作,迁延难愈,严重影响患者的身心健康及生活质量。中医认为,间质性膀胱炎病位在膀胱,发病与脾、肾、肝关系密切,发病机制可能由气血瘀阻、湿热壅滞、脾肾亏虚所致,其特点可能是“虚、瘀、湿、滞”相互影响或夹杂致病。中医药疗法作为该病重要治疗方法之一,治疗用药时注重活血疏肝、清热利湿、健脾益肾之法;除内服药物治疗外,可采用针灸及中药灌注治疗等方法,从而提高该病的临床疗效。Interstitial cystitis is a chronic non-bacterial cystitis of unknown origin,which is difficult to treat clinically,with recurrent episodes of urinary frequency and painful symptoms that are difficult to heal and seriously affect the physical and mental health and quality of life of patients.Traditional Chinese medicine believes that interstitial cystitis is located in the bladder and is closely related to the spleen,kidney,and liver.The pathogenesis may be caused by qi and blood stasis obstruction,dampness and heat stagnation,spleen and kidney deficiency.Its characteristics may be the mutual influence of“deficiency,blood stasis,dampness,and stagnation”or a combination of pathogenic factors.Traditional Chinese medicine therapy,as one of the important treatment methods for this disease,pays attention to the methods of promoting blood circulation and soothing the liver,clearing heat and promoting diuresis,and strengthening the spleen and kidney when using medication.In addition to oral medication,acupuncture and moxibustion and traditional Chinese medicine infusion can be used to improve the clinical efficacy of the disease.

关 键 词：间质性膀胱炎 中医药 气血瘀阻 研究进展 

分 类 号：R694[医药卫生—泌尿科学]