从虚、痰、瘀、毒论治肺部磨玻璃结节  

Treatment of Ground Glass Nodules in the Lungs from the Perspectives of Deficiency,Phlegm,Blood stasis and Toxicity

作  者:刘睿潮 周海伦 阿格尔 甘姗珊 姜婧洁 龚亚斌[1] LIU Ruichao;ZHOU Hailun;A G'er;GAN Shanshan;JIANG Jingjie;GONG Yabin(Yueyang Integrated Chinese and Western Medicine Hospital Affiliated to Shanghai University of Chinese Medicine,Shanghai 200437,China)

机构地区:[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出  处:《陕西中医药大学学报》2025年第1期42-45,共4页Journal of Shaanxi University of Chinese Medicine

基  金:上海市科学技术委员会资助项目(2021KJ03-12)。

摘  要:随着体检中胸部CT的普及,肺部磨玻璃结节(ground-glass nodule,GGN)的检出率越来越高,其具有一定比例的恶性概率,容易引起患者的恐慌,值得临床重视。目前对于无手术适应症的肺部GGN西医只是随访观察,而中医学对肺部GGN的研究尚不足,并且未形成统一的认识。通过查阅文献以及临床上四诊合参发现磨玻璃结节的病机特点多以虚痰瘀毒夹杂为主,基于虚、痰、瘀、毒讨论肺部GGN的病机特点及治疗方法,希冀为肺部磨玻璃结节的诊疗提供一定的思路。With the popularization of chest CT in physical examinations,the detection rate of ground glass nodules(GGN)in the lungs is increasing.They have a certain proportion of malignant probability and can easily cause panic in patients,which deserves clinical attention.At present,Western medicine only conducts follow-up observations on pulmonary GGN without surgical indications,while Chinese medicine has insufficient research on pulmonary GGN and has not formed a unified understanding.The author found through literature review and clinical practice that the pathological characteristics of GGN are mainly characterized by a mixture of deficiency phlegm,blood stasis,and toxin.Based on the discussion of deficiency,phlegm,blood stasis,and toxin,the author hopes to provide some ideas for the diagnosis and treatment of GGN in the lungs.

关 键 词:磨玻璃结节 虚痰瘀毒 扶正 活血化瘀 清肺解毒 

分 类 号:R259[医药卫生—中西医结合]

 

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