胃内镜黏膜下剥离术后人工溃疡的中医病机和治法探讨  

Discussion on TCM Pathogenesis and Treatment of Artificial Ulcers After Gastric Endoscopic Submucosal Dissection

作　　者：叶露 倪思忆 刘勇攀 黄秋薇 张馨瑞 钟继红 YE Lu;NI Siyi;LIU Yongpan;HUANG Qiuwei;ZHANG Xinrui;ZHONG Jihong(Tongxiang Traditional Chinese Medicine Hospital,Jiaxing 314500,Zhejiang,China;The Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,Zhejiang,China)

机构地区：[1]桐乡市中医医院,浙江嘉兴314500 [2]浙江中医药大学附属第二医院,浙江杭州310005

出　　处：《实用中医内科杂志》2024年第10期116-118,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：浙江省中医药科技计划项目(2023ZL061)。

摘　　要：尽管内镜技术在不断的发展,但是胃内镜黏膜下剥离术(endoscopic submucosal dissection, ESD)术后人工溃疡的修复以及并发症的防治是当前治疗的“模糊地带”。从中医角度理解,该病可归属于“胃脘痛”“胃疡”“嘈杂”等范畴。目前中医认为该病的核心病机以及演变规律可概括为“正气不足、淤毒内结、热盛肉腐”。在治疗方面,临床医生从不同角度入手,使用经方、自拟方、单药、中成药,有效缓解临床症状及加速溃疡愈合。该文通过对该病的病因病机、中医治疗等方面进行综合整理、归纳,为该病的中医诊治提供新思路,提高临床疗效。Despite the maturing of endoscopic technology,the treatment of artificial ulcers after endoscopic submucosal dissection(ESD)and the management of complications is a"fuzzy zone"in the current treatment.Based on traditional Chinese medicine(TCM),the disease can be classified as"epigastric pain","gastric ulcer","clamoring stomach"and so on.The basic TCM pathogenesis of this disease can be summarized as follows,accumulation of blood stasis and toxin due to insufficiency of healthy qi;the blood collaterals were damaged by hyperactivity of heat bringing about rottenness of muscle.In terms of treatment, clinicians have used classical prescriptions, self-prepared prescriptions, single drugs, and ready-prepared Chinese medicines from different perspectives to effectively relieve the clinical symptoms and accelerate the healing of ulcers. By summarizing the etiology, pathogenesis and TCM treatment of this disease, providing ideas for the Chinese medicine diagnosis and treatment of this disease and improving clinical efficacy.

关 键 词：内镜黏膜下剥离术 人工溃疡 中医 病机 治疗 

分 类 号：R259[医药卫生—中西医结合]