《急性胰腺炎中西医结合诊疗指南》解读  

Interpretation of《Integrated Traditional Chinese and Western Medicine Practice Guidelines for Diagnosis and Treatment of Acute Pancreatitis》

作　　者：金涛[1] 李兰[1] 张潇颖[1] 黄伟[2] 夏庆[1] JIN Tao;LI Lan;ZHANG Xiaoying;HUANG Wei;XIA Qing(West China Center of Excellence for Pancreatitis,Institute of Integrated Traditional Chinese and Western Medicine,West China Hospital,Sichuan University,Sichuan Provincial Pancreatitis Centre,Chengdu 610041,P.R.China;West China Biobanks,Department of Research Management,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院中西医结合中心,胰腺炎中心,成都610041 [2]四川大学华西医院临床研究管理部生物样本库,成都610041

出　　处：《中国普外基础与临床杂志》2024年第2期205-211,共7页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省中医药管理局科学技术研究专项课题(项目编号:2023ZD04、2023MS353);四川省科技厅重点研发项目(项目编号:23ZDYF1772)。

摘　　要：中西医结合治疗急性胰腺炎(acute pancreatitis,AP)已有50余年的历史,AP已成为中西医结合治疗领域的优势专病病种,在多年的临床应用实践中,逐渐形成了一套相对成熟完备的治疗体系。基于此,2022年由中国中西医结合学会、中华医学会和中华中医药学会提出,在《急性胰腺炎中西医结合诊疗的团体标准》基础上,更新并制订了《急性胰腺炎中西医结合诊疗指南》。该指南凝练了25个重要的临床问题,以此为导向,具体阐述了AP的诊断和治疗,重点阐释了AP的中医分期与辨证、早期液体疗法、疼痛管理、器官支持等早期诊疗时中西医结合的具体方式、手段和作用,强调了中医药的早期优势及尽早干预的时机问题,并就营养支持、病因的管理、后期局部并发症及感染的处理,以及预防复发、远期并发症的随访策略方面提出建议。本文就该指南进行解读。Integrated traditional Chinese and Western medicine has been used to treat acute pancreatitis(AP)for more than 50 years.It has become a dominant and specialized disease treated by integrated traditional Chinese and Western medicine.After many years of clinical practice,a relatively mature and complete treatment system has been formed.Therefore,it was proposed by the Chinese Society of Integrated Traditional Chinese and Western Medicine,the Chinese Medical Association,and the Chinese Association of Traditional Chinese Medicine to update and formulate the“Guidelines for the Diagnosis and Treatment of Acute Pancreatitis with Integrated Traditional Chinese and Western Medicine”(2021)group standards in 2022,and“Integrated Traditional Chinese and Western Medicine Practice Guidelines for Diagnosis and Treatment of Acute Pancreatitis”finally published.The guideline condenses 25 kinds of important clinical issues,which guide to explain the diagnosis and treatment of AP in detail,focusing on the integration of traditional Chinese medicine and Western medicine in the management of AP,such as staging and syndrome differentiation,early fluid therapy,pain management,and organ function support in early stage.The advantages and the timing of early intervention of traditional Chinese medicine in AP are emphasized.This guideline also proposes suggestions on nutritional support,management of causes,treatment of late local complications and infections,as well as prevention of recurrence and follow-up strategies for long-term complications.This paper provides an interpretation of this guideline.

关 键 词：急性胰腺炎 急性胰腺炎中西医结合诊疗指南 中医药 解读 

分 类 号：R576[医药卫生—消化系统]