中医药急诊发展战略展望
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摘要
随着西医学的传入与发展,其承担了我国急诊医学中绝大部分的抢救任务,而中医药在急救中的运用逐渐被忽略,使得中医药目前在急诊医学中处于一个相对弱势的地位。在西医弊端日渐凸显的今天,如何发挥中医药在急诊医学中的优势以弥补西医的不足,是当前的一个热点话题。文章通过分析中医学"整体观念"和"辨证论治"在急诊医学中的优势性,以及中医药在西医主导的急诊外科中所发挥的独特作用,揭示中医药在急诊医学中的长处所在,并针对中医药急诊所存在的问题,提出战略性见解和展望。
With the introduction and development of western medicine, it undertakes most of the rescue tasks in emergency medicine in China, while the use of traditional Chinese medicine in emergency medicine has been gradually neglected, making traditional Chinese medicine in emergency medicine at present in a relatively weak position. With the increasingly prominent drawbacks of western medicine, how to make full use of the advantages of traditional Chinese medicine in emergency medicine to make up for the shortcomings of western medicine is a hot topic at present. By analyzing the advantages of ‘holistic concept' and ‘syndrome differentiation and treatment' of traditional Chinese medicine in emergency medicine and the unique role played by traditional Chinese medicine in emergency surgery led by western medicine, this paper revealed the advantages of traditional Chinese medicine in emergency medicine, and put forward strategic views and prospects for the problems existing in emergency medicine of traditional Chinese medicine.
With the introduction and development of western medicine, it undertakes most of the rescue tasks in emergency medicine in China, while the use of traditional Chinese medicine in emergency medicine has been gradually neglected, making traditional Chinese medicine in emergency medicine at present in a relatively weak position. With the increasingly prominent drawbacks of western medicine, how to make full use of the advantages of traditional Chinese medicine in emergency medicine to make up for the shortcomings of western medicine is a hot topic at present. By analyzing the advantages of ‘holistic concept' and ‘syndrome differentiation and treatment' of traditional Chinese medicine in emergency medicine and the unique role played by traditional Chinese medicine in emergency surgery led by western medicine, this paper revealed the advantages of traditional Chinese medicine in emergency medicine, and put forward strategic views and prospects for the problems existing in emergency medicine of traditional Chinese medicine.
引文
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[9]叶烨,曾瑞峰,赖嘉华,等.温阳活血法治疗复苏后综合征的临床观察.中华中医药杂志,2017,32(3):1390-1392
[10]彭吾训,吴建华,龚翔.液体复苏在未控制性创伤失血性休克中的应用.中华急诊医学杂志,2012,21(8):895-897
[11]陈富明,孔丽葵,李海燕.创伤失血性休克患者凝血功能分析及抢救措施研究.河北医药,2014,36(17):2613-2615
[12]梁鹏飞,肖敏.中西医结合复苏治疗创伤失血性休克早期临床观察.亚太传统医药,2013,9(11):96-97
[13]杨钦文.生脉注射液对失血性休克患者围术期血流动力学的影响.重庆医学,2011,40(32):3268-3269
[14]陈文元,张英俭,梁伟伟,等.参附注射液对轻、中度创伤失血性休克患者凝血功能的影响.中国现代医生,2013,51(3):81-83
[15]刘燕君,桂丹,周代伟,等.生脉注射液对失血性休克兔促炎因子TNF-α和IL-6的影响.广东医学,2011,32(1):43-45
[16]徐冰,赵剡,夏剑.参附注射液对创伤失血性休克患者凝血功能和炎性因子的影响.海南医学院学报,2015,21(2):206-208
[17]张雄辉,张火林,黎惠金,等.参附注射液在创伤性休克早期液体复苏中的应用效果.实用中西医结合临床,2010,10(4):28-29
[18]王开云.生脉注射液治疗失血性休克38例.吉林中医药,2008,28(8):576
[19]张柏龄.醒脑开窍法救治脑外伤30例临床观察.新中医,1996,28(10):36-37
[20]刘应柯,邓增义.针刺水沟穴治疗失血性休克的临床观察.中国针灸,1999,19(10):585-586
[21]宋小鸽,唐照亮,侯正明,等.针刺内关对失血性休克家兔血浆ANP和心泵功能的影响.上海针灸杂志,1991,10(3):29-31
[22]张崴,宋殿荣,王建玲,等.术后康复汤通腑行气作用机制研究.山东中医杂志,2015,34(2):122-123
[23]左振魁,席作武,韩佳瑞,等.解毒化瘀方治疗肛瘘术后患者60例.中国实验方剂学杂志,2013,19(18):326-329
[24]贺长江,范学兴,王登文,等.烧伤患者368例创面感染影响因素分析.中华临床医师杂志(电子版),2012,6(14):4079-4081
[25]周永华,陈颉,朱忠伟.轻中度烧伤抗生素应用分析.浙江创伤外科,2013,18(5):652-653
[26]苏青和,虞俊杰,杨敏杰,等.严重烧伤休克病人血乳酸监测与组织氧合相关性的临床研究.中国微循环,2002,6(5):287-288
[27]杨胜群,熊茜,邹俊波,等.中药在烧烫伤治疗中的应用及作用机制研究进展.中南药学,2015,13(11):1182-1186
[28]戴跃龙,白慧颖,窦永起,等.论中医对烧伤休克早期病机的认识.中华中医药杂志,2017,32(4):1513-1515
[29]周国富,向小燕,吕志敏,等.血必净注射液治疗严重烧伤合并内毒素血症的临床疗效观察.重庆医学,2010,39(12):1525-1526
[30]吕国忠,蔡良良,虞俊杰.中西医结合治疗大面积深度烧伤后残余创面.中国修复重建外科杂志,2010(8):937-939
[31]张泽.中医与循证医学:从理论到实践.中华中医药杂志,2015,30(10):3417-3419
[32]丁邦晗,梁国荣,李焕梅,等.从PBL→EBM深化中医急诊内科研究生教学模式.时珍国医国药,2014,25(3):724-725
[33]方邦江,方晓磊.国医大师治疗急危重症学术经验选.北京:人民卫生出版社,2017:1-460
[2]张佳,刘靖圆,柯小娥,等.肝素在心肺复苏过程中对重要脏器保护作用的研究进展.实用心脑肺血管病杂志,2016,24(1):4-6
[3]王超,胡岚,黄光伟,等.复苏后多器官功能障碍综合征123例临床分析.临床和实验医学杂志,2012,11(24):1985-1987
[4]胡国英.参附注射液结合常规方法用于心肺复苏.中国实验方剂学杂志,2012,18(12):293-295
[5]邓秋迎,陶兰亭,王大伟.参附注射液对心肺复苏患者影响的临床研究.新中医,2012,44(4):15-17
[6]孙晓莉,郑雪冰,王蕊,等.生脉注射液对心肺复苏中心肌再灌注损伤的保护作用.中国实验诊断学,2015,19(8):1334-1336
[7]黄君龄,孟婧,袁颖,等.参附注射液对心肺复苏多脏器功能保护的研究.中华急诊医学杂志,2014,23(7):791-795
[8]孙陟中,方一新,黄海军,等.参附注射液对急性心肺复苏患者的心肌及肝肾功能的保护作用.中国临床药理学与治疗学,2017,22(7):810-813
[9]叶烨,曾瑞峰,赖嘉华,等.温阳活血法治疗复苏后综合征的临床观察.中华中医药杂志,2017,32(3):1390-1392
[10]彭吾训,吴建华,龚翔.液体复苏在未控制性创伤失血性休克中的应用.中华急诊医学杂志,2012,21(8):895-897
[11]陈富明,孔丽葵,李海燕.创伤失血性休克患者凝血功能分析及抢救措施研究.河北医药,2014,36(17):2613-2615
[12]梁鹏飞,肖敏.中西医结合复苏治疗创伤失血性休克早期临床观察.亚太传统医药,2013,9(11):96-97
[13]杨钦文.生脉注射液对失血性休克患者围术期血流动力学的影响.重庆医学,2011,40(32):3268-3269
[14]陈文元,张英俭,梁伟伟,等.参附注射液对轻、中度创伤失血性休克患者凝血功能的影响.中国现代医生,2013,51(3):81-83
[15]刘燕君,桂丹,周代伟,等.生脉注射液对失血性休克兔促炎因子TNF-α和IL-6的影响.广东医学,2011,32(1):43-45
[16]徐冰,赵剡,夏剑.参附注射液对创伤失血性休克患者凝血功能和炎性因子的影响.海南医学院学报,2015,21(2):206-208
[17]张雄辉,张火林,黎惠金,等.参附注射液在创伤性休克早期液体复苏中的应用效果.实用中西医结合临床,2010,10(4):28-29
[18]王开云.生脉注射液治疗失血性休克38例.吉林中医药,2008,28(8):576
[19]张柏龄.醒脑开窍法救治脑外伤30例临床观察.新中医,1996,28(10):36-37
[20]刘应柯,邓增义.针刺水沟穴治疗失血性休克的临床观察.中国针灸,1999,19(10):585-586
[21]宋小鸽,唐照亮,侯正明,等.针刺内关对失血性休克家兔血浆ANP和心泵功能的影响.上海针灸杂志,1991,10(3):29-31
[22]张崴,宋殿荣,王建玲,等.术后康复汤通腑行气作用机制研究.山东中医杂志,2015,34(2):122-123
[23]左振魁,席作武,韩佳瑞,等.解毒化瘀方治疗肛瘘术后患者60例.中国实验方剂学杂志,2013,19(18):326-329
[24]贺长江,范学兴,王登文,等.烧伤患者368例创面感染影响因素分析.中华临床医师杂志(电子版),2012,6(14):4079-4081
[25]周永华,陈颉,朱忠伟.轻中度烧伤抗生素应用分析.浙江创伤外科,2013,18(5):652-653
[26]苏青和,虞俊杰,杨敏杰,等.严重烧伤休克病人血乳酸监测与组织氧合相关性的临床研究.中国微循环,2002,6(5):287-288
[27]杨胜群,熊茜,邹俊波,等.中药在烧烫伤治疗中的应用及作用机制研究进展.中南药学,2015,13(11):1182-1186
[28]戴跃龙,白慧颖,窦永起,等.论中医对烧伤休克早期病机的认识.中华中医药杂志,2017,32(4):1513-1515
[29]周国富,向小燕,吕志敏,等.血必净注射液治疗严重烧伤合并内毒素血症的临床疗效观察.重庆医学,2010,39(12):1525-1526
[30]吕国忠,蔡良良,虞俊杰.中西医结合治疗大面积深度烧伤后残余创面.中国修复重建外科杂志,2010(8):937-939
[31]张泽.中医与循证医学:从理论到实践.中华中医药杂志,2015,30(10):3417-3419
[32]丁邦晗,梁国荣,李焕梅,等.从PBL→EBM深化中医急诊内科研究生教学模式.时珍国医国药,2014,25(3):724-725
[33]方邦江,方晓磊.国医大师治疗急危重症学术经验选.北京:人民卫生出版社,2017:1-460