术前衰弱相关中医理论辨析与临床实践  

Identification of traditional Chinese medicine theories related to preoperative frailty and application in clinical practice

作　　者：许丽 司尚坤 王福磊 俞登江 苏帆[3] XU Li;SI Shangkun;WANG Fulei;YU Dengjiang;SU Fan(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学第一临床医学院,济南市250014 [2]天津中医药大学第一附属医院针灸科 [3]山东中医药大学附属医院麻醉科

出　　处：《临床麻醉学杂志》2025年第4期413-417,共5页Journal of Clinical Anesthesiology

基　　金：山东省自然科学基金(ZR2020MH391);济南市科技创新发展计划(202134068);济南市“新高校20条”科研带头人工作室项目(202228124)。

摘　　要：术前衰弱是渐进性、几乎不可逆的病理过程,随年龄而逐渐加重,会导致患者应激与抗伤害能力的下降,明显影响手术结局。随着老龄化社会发展,衰弱引起越来越多的关注。目前西医多从营养、神经认知和运动能力方面去评估衰弱,且临床针对性干预很少。本文尝试从病症溯源、中医病因病机辨析、五脏相关证候与发展及相应中医药诊疗等多方面阐述中医对术前衰弱的理论认知和相关理论指导下的防治策略,以求为临床有效干预提供新的依据和途径。A progressive,nearly irreversible pathological condition,pre-operative frailty pro-gressively worsens with age,lowering a patient's stress level and anti-injury ability and having a major impact on surgical results.Organismal frailty has gained increasing attention as a result of an aging society.Nowadays,clinical interventions are rarely focused on,and frailty is evaluated by Western medicine based on nutritional,neurocognitive,and motor abilities.This paper collects relevant literature and tries to explain the theoretical cognition of traditional Chinese medicine on preoperative frailty and the prevention and treatment strategies under the guidance of relevant theories from the aspects of disease traceability,traditional Chinese medicine etiology and pathogenesis differentiate and analyse,related symptoms and signs and development of five-zang organs,and corresponding diagnosis and treatment of traditional Chinese medicine,so as to provide new basis and ways for clinical effective intervention.

关 键 词：术前 衰弱 老年 五脏皆虚 应激 抗伤害能力 

分 类 号：R249[医药卫生—中医临床基础]