中医药在重症急性胰腺炎肠功能衰竭治疗中的作用  

The role of traditional Chinese medicine in the treatment of severe acute pancreatitis with intestinal failure

作　　者：薛育政 刘天浩 吴铁龙 Xue Yuzheng;Liu Tianhao;Wu Tielong(Digestive Disease Diagnosis and Treatment Center,Jiangnan University Affiliated Hospital,Wuxi 214122,China)

机构地区：[1]江南大学附属医院消化病诊疗中心,无锡214122

出　　处：《中华肝胆外科杂志》2025年第3期161-166,共6页Chinese Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金(32372302);无锡市“太湖人才计划”医学专家团队项目和医疗卫生高层次人才项目;无锡市科技局“太湖之光”科技攻关项目(Y20242103)。

摘　　要：重症急性胰腺炎是急性胰腺炎(SAP)的严重类型,也是消化科常见急腹症之一。肠功能障碍和衰竭是导致急性胰腺炎重症化、全身性炎症反应综合征、多脏器功能衰竭发生发展的重要因素之一。中医药具有非常丰富的理论体系,对SAP的病因病机演变规律、病证模式具有独到的见解,在肠道保护、减轻炎症、防治重症化方面有独特的优势。中西医结合治疗SAP疗效确切,可降低SAP发病率和死亡率。本文主要结合西医病理机制、中医病因病机以及中西医结合的治疗优势等,就中西医结合治疗SAP以及其引起的肠功能障碍和衰竭进行叙述,为中西医结合治疗SAP提供新的切入点。Severe acute pancreatitis(SAP),a critical subtype of acute pancreatitis(AP),is one of the common acute abdomen in gastroenterology.Intestinal dysfunction or failure is a significant contributor to the progression of SAP,increasing the development of systemic inflammatory response syndrome and multiple organ failure.Traditional Chinese medicine(TCM)offers unique insights into the etiology,pathophysiology,and disease pattern of SAP,making it promising in preserving the intestines,lowering inflammation,and preventing severe instances.The integrated TCM and western medicine could benefits the treatment of SAP,lowering the morbidity and mortality.This article mainly reviews the application of integrated TCM and Western medicine in the diagnosis and treatment of SAP-related intestinal dysfunction and failure,and elaborates on the pathological mechanisms of SAP in Western medicine,the etiology and pathogenesis of SAP in TCM,and the treatment advantages of integrated TCM and western medicine,providing new perspectives and insights into the management of SAP.

关 键 词：胰腺炎 中西医结合疗法 肠功能障碍 

分 类 号：R259[医药卫生—中西医结合]