脓毒症胃肠损伤——“肠痹”的中西医病机融通救治  

Treating sepsis induced intestinal injury from"Chang-Bi"based on the integration of theory of Chinese medicine and Western medicine

作　　者：黎丽群 刘园园[1] 杨成宁 谭金晶[1] 谢娟娟[1] 张丽敏 刘礼剑[1] 王光耀 谢胜[1] LI Liqun;LIU Yuanyuan;YANG Chengning;TAN Jinjing;XIE Juanjuan;ZHANG Limin;LIU Lijian;WANG Guangyao;XIE Sheng(Department of Gastroenterology,the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning,530023,China)

机构地区：[1]广西中医药大学第一附属医院脾胃病科,南宁530023

出　　处：《中国中西医结合消化杂志》2024年第2期120-124,129,共6页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：广西岐黄学者培养项目(No:2022015-003-01);广西重点研发项目(No:桂科AB23026098);广西中医药多学科交叉创新团队项目(No:GZKJ2307);国家中医药管理局高水平中医药重点学科建设项目(No:zyyzdxk-2023167)。

摘　　要：脓毒症胃肠损伤是脓毒症最常见的并发症,亦是导致多器官功能障碍综合征的初始环节。积极改善患者胃肠道功能对提高脓毒症救治成功率意义重大。目前,行业内对本病进行了大量深入研究并取得了显著成绩,但由于该病发病机制复杂且未完全明确,常常难以取得令人满意的临床疗效。谢胜教授从医30余载,带领团队致力于中医病机在疾病预测、预防及治疗方面的研究,提出救治急危重症的“中西医病机融通”理论观点,并基于该理论观点从“肠痹”论治脓毒症胃肠损伤,获得良效。Septic-induced intestinal injury is a complication avoided by sepsis,and it is also the initial link of multiple organ dysfunction syndrome.Improving the intestinal mortality of patients is of great significance in improving the success rate of sepsis treatment.However,because of the complexity of the pathogenesis of the disease is not completely clear,the clinical efficacy is not satisfactory,and even some patients have further deteriorated.Professor XIE Sheng has more than 30 years of medical experience.He leads our team,which is dedicated to exploring and researching TCM pathogenesis in disease prediction,prevention,and treatment.He has proposed a theoretical viewpoint of"integration of TCM and Western medicine pathogenesis"in the treatment of acute and critical cases.Treating sepsis-induced intestinal injury from"Chang-Bi"based on the integration of Chinese and Western medicine theory obtains good results.

关 键 词：中西医病机融通 肠痹 脓毒症胃肠损伤 理论 

分 类 号：R255.6[医药卫生—中医内科学]