鼓胀(肝硬化腹水)中医诊疗专家建议  

Expert advice on traditional Chinese medicine(TCM)diagnosis and treatment of Guzhanag(asctes due to liver cirrhosis)

作　　者：无 童光东 邢宇锋 

机构地区：[1]国家中医药管理局华东南中医肝病诊疗中心联盟 [2]不详

出　　处：《中国肝脏病杂志(电子版)》2024年第4期8-16,共9页Chinese Journal of Liver Diseases:Electronic Version

基　　金：国家中医药管理局区域中医(专科)诊疗中心([2018]205);深圳市重点实验室计划(ZDSYS20210623092000002);广东省基础与应用基础研究基金(2022B1515120034);广东省2020年广东省名中医传承工作室建设项目。

摘　　要：肝硬化腹水是肝硬化自然病程中发生的严重事件,为失代偿期肝硬化患者常见且严重的并发症之一。因此,腹水的防治一直是临床治疗中的难点和研究热点。目前西医治疗肝硬化腹水,尤其是难治性腹水作用有限,中医在长期临床工作中对消退腹水、改善患者整体状态等方面有一定优势。随着研究进展及临床经验的不断更新,需要对中医诊疗方案进行更新。为对腹水及其相关并发症的诊疗和预防工作做出合理决策,深圳市中医院肝病科依托国家中医药管理局华东南中医肝病诊疗中心联盟,牵头联合各联盟的肝病专家,经过专业委员会专家的多次反复讨论,基于临床证据及专家共识意见更新、修订形成了《鼓胀(肝硬化腹水)中医诊疗专家建议》,以满足肝硬化腹水临床诊治的需要。Cirrhosis ascites is a significant event that occurs during the natural progression of cirrhosis and represents a common and serious complication in patients with decompensated liver cirrhosis.Consequently,the prevention and treatment of ascites have always posed challenges and remain a prominent research topic in clinical practice.Currently,Western medicine encounters considerable difficulty in managing cirrhosis ascites,particularly refractory cases;however,Chinese medicine has demonstrated certain advantages in reducing ascites and enhancing overall patient condition over long-term clinical experience.With ongoing research progress and accumulated clinical expertise,it becomes imperative to update the traditional Chinese medicine(TCM)diagnosis and treatment expert advice accordingly.In order to make informed decisions regarding the diagnosis and management of ascites as well as related complications,Department of Liver Disease,Shenzhen Hospital of Traditional Chinese Medicine collaborated with liver disease experts from various alliances under the guidance of National Administration of TCM Southeast China Alliance of TCM Hepatology Diagnosis and Treatment Center.After multiple extensive discussions by expert committees based on updated clinical evidence and consensus opinions,“TCM diagnosis and treatment schem of Guzhanag(asctes due to liver cirrhosis)”was evised and updated to cater to the evolving needs for diagnosing and treating cirrhosis-related ascites.

关 键 词：鼓胀 肝硬化腹水 中医诊疗方案 临床路径 

分 类 号：R57[医药卫生—消化系统]