中医药治疗乙型肝炎肝硬化失代偿期研究进展  

New progress on the treatment of hepatitis B cirrhosis in the decompensated stage with traditional Chinese medicine

作　　者：曾碧雨 姚春[1] 陈月桥[2] 罗琪 张荣 莫宏英 周洁清 ZENG Biyu;YAO Chun;CHEN Yueqiao;LUO Qi;ZHANG Rong;MO Hongying;ZHOU Jieqing(Graduate School,Guangxi University of Chinese Medicine,Nanning 530200,China)

机构地区：[1]广西中医药大学研究生院,广西南宁530200 [2]广西中医药大学第一附属医院肝病科,广西南宁530001

出　　处：《陕西中医》2024年第6期850-854,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(82260899);广西壮族自治区重点研发项目(桂科AB22035076);国家中医药管理局高水平中医药重点学科建设项目(2023027-01);广西中医药大学“桂派中医药传承创新团队”建设项目(2022A001)。

摘　　要：乙型肝炎病毒感染是肝硬化发生的最主要原因,疾病发展至失代偿期时患者的生存率极低,是肝病患者死亡的主要原因之一。目前临床上单纯的西医治疗未能提高整体疗效,而中医药对乙型肝炎肝硬化失代偿期的防治逐渐展现出显著优势,其临床经验丰富,且不良反应少,有效改善患者的症状和提高生活质量。基于此,通过查阅国内外相关文献,结合古今学者对乙型肝炎肝硬化失代偿期的认识,归纳分析乙型肝炎肝硬化失代偿期的病理生理过程、病因病机、中医辨证论治及中医内治和外治的防治理念,为进一步推动乙型肝炎肝硬化失代偿期的中医药治疗提供参考及新思路。Hepatitis B virus infection is the main cause of liver cirrhosis,and the survival rate of patients is extremely low when the disease develops to the decompensated stage,which is one of the main causes of death of liver disease patients.At present,purely western medical treatment fails to improve the overall efficacy,and traditional Chinese medicine(TCM)has gradually demonstrated its significant advantages in the prevention and treatment of hepatitis B cirrhosis in the decompensated stage,which is rich in clinical experience and has fewer adverse reactions,and effectively improves the symptoms and quality of life of the patients.Based on this,by reviewing the relevant literature at home and abroad,combining the knowledge of ancient and modern scholars on the decompensated stage of hepatitis B cirrhosis,we summarized and analyzed the pathophysiological process,etiology and pathogenesis of the decompensated stage of hepatitis B cirrhosis,Chinese medicine diagnosis and treatment,as well as Chinese medicine concepts for prevention and control of internal and external treatment,with the aim of providing references and new ideas for the further promotion of the treatment of hepatitis B cirrhosis in the decompensated stage of traditional Chinese medicine.

关 键 词：乙型肝炎肝硬化 失代偿期 中医内治 中医外治 病因病机 

分 类 号：R657.31[医药卫生—外科学]