卢建新教授中西医结合治疗女性膀胱逼尿肌无力经验  

Professor Lu Jianxin’s experience in the treatment of female bladder detrusor underactivity with a integration of traditional Chinese and western medicine

作　　者：周嘉乐 王自强 赖菁玲 安一方 朱赫 石培琪 卢建新[1] ZHOU Jiale;WANG Ziqiang;LAI Jingling;AN Yifang;ZHU He;SHI Peiqi;LU Jianxin(Department of Urology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing100053,China;Graduate School,Beijing University of Chinese Medicine,Beijing100029,China)

机构地区：[1]中国中医科学院广安门医院泌尿科,北京100053 [2]北京中医药大学研究生院,北京100029

出　　处：《中国医药导报》2023年第34期167-171,共5页China Medical Herald

基　　金：北京市科技计划项目(D161100005116003);中国中医科学院广安门医院科研项目(2022024)。

摘　　要：膀胱逼尿肌无力是指由于膀胱逼尿肌收缩力减低或收缩持续时间缩短,导致正常排尿时间段内膀胱排空延迟或不能完全排空,从而引发的一系列下尿路症状。其严重并发症包括上尿路损害、肾功能衰竭等,威胁患者生命健康。目前国内外治疗方法有限,尚缺乏针对性治疗方案。卢建新教授通过多年临床观察与实践经验,认为此病的关键病机在于“气机失调”,并提出了“调气复化”的治疗思路。与此同时,卢建新教授还发现此类患者往往伴随“相对梗阻”的问题,这使得病情进一步加重。故卢建新教授通过中西医结合治疗的方式,在手术解除“相对梗阻”的基础上,联合“调理气机”的中医思想贯穿始终,辨证加减。这也体现了卢建新教授“各纳所长,中西汇通,务求效验”的行医理念。Bladder detrusor underactivity refers to a series of lower urinary tract symptoms caused by the delayed or incomplete emptying of the bladder during the normal urination period due to the reduced contractility or duration of the bladder detrusor.The serious complications include upper urinary tract damage and renal failure,which threaten the life and health of patients.At present,the treatment methods at home and abroad are limited,and there is still a lack of targeted treatment programs.Through many years of clinical observation and practical experience,Professor Lu Jianxin believes that the key pathogenesis of this disease lies in“qi mechanism disorder”,and puts forward the treatment idea of“regulating qi and restoring”.At the same time,Professor Lu Jianxin also found that such patients are often accompanied by“relative obstruction”problems,which makes the disease further aggravated.Therefore,Professor Lu Jianxin through the integration of traditional Chinese and western medicine treatment,on the basis of the operation to remove the“relative obstruction”,combined with the traditional Chinese medicine thought of“conditioning qi mechanism”throughout the whole,syndrome differentiation and subtraction.This also reflects Professor Lu Jianxin’s medical philosophy of“accepting the strengths of each institution,integrating Chinese and western medicine,and striving for effectiveness”.

关 键 词：逼尿肌无力 神经源性 相对梗阻 调气复化 中西医结合治疗 

分 类 号：R277.5[医药卫生—中医学]