从“截断扭转”探讨卒中相关性肺炎的治疗思路  

Exploring the Treatment Strategies for Stroke-associated Pneumonia from the Perspective of“Interrupting and Reversing”

作　　者：于小涵 蔡艺贞 李婉萍 李慧[3] Yu Xiaohan;Cai Yizhen;Li Wanping;Li Hui(Guangzhou University of Traditional Chinese Medicine,Guangdong,Guangzhou 510095,China)

机构地区：[1]广州中医药大学,广东广州510095 [2]广东省第二中医院白云院区,广东广州510405 [3]广东省第二中医院,广东广州510095

出　　处：《中国中医急症》2025年第2期234-237,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(20212007)。

摘　　要：卒中相关性肺炎具有起病急、进展快、病情危重等特点,其病理因素以风、火、痰、瘀为主,病变部位广泛,病机复杂。本文从卫气营血角度阐释卒中相关性肺炎的病机演变规律,以“截断扭转”理论为指导思想,探讨如何根据病机演变规律进行干预治疗,达到截断扭转病势、改善疾病预后的目的。Stroke-associated pneumonia is characterized by its acute onset,rapid progression,and critical condi⁃tion.Its pathological factors mainly include wind,fire,phlegm,and blood stasis,with widespread lesion sites and complex pathogenesis.This article explains the evolution patterns of stroke-associated pneumonia′s pathogenesis from the perspective of weifen,qifen,yingfen and xuefen,guided by the theory of“interrupting and reversing”.It explores how to intervene and treat the disease based on the evolution patterns of pathogenesis,aiming to interrupt and reverse the disease trend and improve the prognosis.

关 键 词：卒中相关性肺炎 截断扭转 卫气营血 病机演变 中医药 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]