中医药治疗下肢深静脉血栓研究进展
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摘要
下肢深静脉血栓是当今第三大血管疾病,因其可引起肺栓塞严重影响了患者的生命健康和生活质量。中医药采取辨证论治的治疗原则在下肢深静脉血栓的临床治疗上取得了显著的疗效。下肢深静脉血栓在中医称之为"股肿",脉络血瘀湿阻是其主要的病因病机,根据其病因病机又可将该病分为气虚血瘀和湿热下注等型。现代医家根据患者的病因病机和临床分型不同采取不同的治疗措施,具体有中医药内治法、中医药外治法和综合疗法。其中内治法又分辨证论治和专病专方的治疗方式,外治法有外敷、熏洗和温针灸等疗法。文章阐述了下肢深静脉血栓的病因病机、辨证分型以及近年来中医药治疗该病的临床研究进展情况,以期为今后下肢深静脉血栓的临床治疗和研究提供参考。
Deep venous thrombosis is the third largest cardiovascular disease, which can cause pulmonary embolism and pulmonary infarction seriously affect the life and quality of life of patients. Traditional Chinese medicine is effective in the treatment of deep venous thrombosis according to the principles of syndrome seeking and syndrome differentiation. Deep venous thrombosis is called femoral swelling in traditional Chinese medicine, choroid blood coagulation dampness obstruction is the main etiology and pathogenesis. According to its etiology and pathogenesis, the disease can be divided into three types: qi deficiency and blood stasis, spleen and kidney Yang deficiency and damp-heat betting. According to the etiology, pathogenesis and clinical classification of patients, modern doctors take different treatment measures, such as internal treatment, external treatment and comprehensive therapy. The internal treatment includes differentiation of symptoms and signs and special prescription for special diseases, while external treatment includes external application, fumigation and warming acupuncture and moxibustion. This article reviews the etiology and pathogenesis of deep venous thrombosis progress of clinical research on the treatment of deep venous thrombosis in recent years in order to provide reference for the clinical treatment and study of deep vein thrombosis in the future.
Deep venous thrombosis is the third largest cardiovascular disease, which can cause pulmonary embolism and pulmonary infarction seriously affect the life and quality of life of patients. Traditional Chinese medicine is effective in the treatment of deep venous thrombosis according to the principles of syndrome seeking and syndrome differentiation. Deep venous thrombosis is called femoral swelling in traditional Chinese medicine, choroid blood coagulation dampness obstruction is the main etiology and pathogenesis. According to its etiology and pathogenesis, the disease can be divided into three types: qi deficiency and blood stasis, spleen and kidney Yang deficiency and damp-heat betting. According to the etiology, pathogenesis and clinical classification of patients, modern doctors take different treatment measures, such as internal treatment, external treatment and comprehensive therapy. The internal treatment includes differentiation of symptoms and signs and special prescription for special diseases, while external treatment includes external application, fumigation and warming acupuncture and moxibustion. This article reviews the etiology and pathogenesis of deep venous thrombosis progress of clinical research on the treatment of deep venous thrombosis in recent years in order to provide reference for the clinical treatment and study of deep vein thrombosis in the future.
引文
[1]连天宇,严欣欣,荆志成.真实世界:中国医学科学院阜外医院血栓中心处理急性肺栓塞的临床实践——与欧洲心脏学会急性肺栓塞指南之对照[J].中国实用内科杂志,2016,36(2):126-130.
[2]卢敏,王林华.中医药防治下肢深静脉血栓形成临床疗效的Meta分析[J].中医正骨,2010,22(3):26-30.
[3]王慧真.中医药治疗下肢深静脉血栓形成临床观察[J].中医学报,2010,25(5):979-980.
[4]颜新,千英信,卫洪昌,等.下肢深静脉血栓形成的中医药治疗进展[J].上海中医药杂志,2003,37(3):57-61.
[5]李红哲.中医辨治下肢深静脉血栓迁延期60例[J].河南中医,2014,34(5):874-875.
[6]王成梁,王杰.中药内外合治下肢深静脉血栓综合征38例[J].陕西中医,2004,25(6):509-510.
[7]鲁敏.中西医结合防治妇科术后下肢深静脉血栓的临床研究[D].武汉:湖北中医药大学,2014.
[8]刘越.桃红四物汤加减预防腰椎术后下肢深静脉血栓的疗效观察[D].北京:北京中医药大学,2013.
[9]吕勃川,李为,高杰,等.李令根教授治疗下肢深静脉血栓形成经验撷要[J].新中医,2014(8):11-12.
[10]张玥,程志新.侯玉芬教授辨证治疗股肿病经验[J].中医学报,2014,29(2):207-208.
[11]陈光,郭洛宏,段浩.辨证治疗下肢深部静脉血栓形成30例[J].时珍国医国药,2000,11(5):456-456.
[12]刘辉,张宏亮.瘀水同治法治疗下肢深静脉血栓形成后遗症38例[J].中医研究,2011,24(12):47-48.
[13]郭小青,霍凤.化痰通络法治疗下肢深静脉血栓形成后遗症36例疗效观察[J].北京中医药,2003,22(4):33-33.
[14]王凤莲,王建英.益气活血利湿法治疗深静脉血栓形成后综合征46例[J].陕西中医,2008,29(2):190-191.
[15]张玉冬,侯玉芬,刘明,等.消栓通脉汤治疗深静脉血栓形成血瘀湿阻证临床研究[J].中华中医药学刊,2013(9):1959-1961.
[16]谢宇峰,蔡光先.消肿止痛散外敷治疗下肢深静脉血栓86例[J].新中医,2010(3):71-72.
[17]郑君,曲芳,李东.外敷祛湿通络汤治疗缺血性脑卒中后下肢深静脉血栓[J].中国实用医药,2015(26):188-189.
[18]倪凤元,李芮.桃核承气汤外敷治疗下肢深静脉血栓形成1例[J].河南中医,2015,35(3):500.
[19]吴红萍,马秀娟.中药外敷治疗急性下肢深静脉血栓的临床观察及护理[J].内蒙古中医药,2008,27(21):172-173.
[20]王玉兰,程进,魏芳.活血消肿散熏洗辅助治疗下肢深静脉血栓患者的护理[J].护理学杂志,2007,22(23):30-31.
[21]张永红,朱彬.补阳还五汤加减熏洗辅助治疗下肢深静脉血栓病人的护理[J].护理研究,2011,25(3):253-254.
[22]邹静,王雁南,宋福晨.中药熏洗配合正负压治疗下肢深静脉血栓形成的护理[J].中国初级卫生保健,2009,23(7):110-111.
[23]王建.温针联合电针治疗中风后下肢静脉血栓疗效观察[J].中西医结合心血管病电子杂志,2017,5(1):178-179.
[24]列莲丽莎.电针加温针治疗下肢静脉血栓[J].中国医药指南,2013(9):634.
[25]刘莹莹,朱靖,马利中.温针灸结合低分子肝素钙治疗脊髓损伤后下肢静脉血栓临床观察[J].浙江中西医结合杂志,2015(4):390-392.
[26]张楠,张洋.冰黄散外敷护理联合丹参川芎嗪注射液治疗骨科术后下肢深静脉血栓形成[J].长春中医药大学学报,2018(1):177.
[27]蔡惠群,王小平.黛柏膏外敷配合中药内服治疗下肢深静脉血栓临床疗效观察[J].上海中医药杂志,2013(6):65-67.
[28]董涛.疏血通注射液联合中药外敷治疗骨科术后下肢深静脉血栓疗效观察[J].辽宁中医药大学学报,2017,19(3):154-156.
[29]刘兴旺.仙方活命饮联合穴位放血疗法治疗下肢静脉血栓60例[J].中国民间疗法,2012,20(12):37-38.
[30]赵悦,高美珠,张思宁.针药联合治疗下肢深静脉血栓形成疗效观察[J].实用中西医结合临床,2017,17(5):14-16.
[31]蒋鸿儒,王悦悦.中西医结合治疗下肢深静脉血栓形成45例疗效观察[J].河北中医,2009,31(4):572-573.
[32]李富昌,杨梅云.中西医结合治疗下肢深静脉血栓形成临床观察[J].湖北中医药大学学报,2013,28(1):63-64.
[33]侯春华,尹红.中西医结合治疗下肢深静脉血栓形成的疗效观察[J].湖北中医杂志,2013,35(11):49-50.
[34]吴澎,朱晓男.中西医结合治疗下肢深静脉血栓形成43例临床研究[J].吉林中医药,2009,29(1):31-32.
[35]吴刚.中西医结合治疗下肢深静脉血栓后综合征103例[J].北京中医药,2010,29(6):431-433.
[2]卢敏,王林华.中医药防治下肢深静脉血栓形成临床疗效的Meta分析[J].中医正骨,2010,22(3):26-30.
[3]王慧真.中医药治疗下肢深静脉血栓形成临床观察[J].中医学报,2010,25(5):979-980.
[4]颜新,千英信,卫洪昌,等.下肢深静脉血栓形成的中医药治疗进展[J].上海中医药杂志,2003,37(3):57-61.
[5]李红哲.中医辨治下肢深静脉血栓迁延期60例[J].河南中医,2014,34(5):874-875.
[6]王成梁,王杰.中药内外合治下肢深静脉血栓综合征38例[J].陕西中医,2004,25(6):509-510.
[7]鲁敏.中西医结合防治妇科术后下肢深静脉血栓的临床研究[D].武汉:湖北中医药大学,2014.
[8]刘越.桃红四物汤加减预防腰椎术后下肢深静脉血栓的疗效观察[D].北京:北京中医药大学,2013.
[9]吕勃川,李为,高杰,等.李令根教授治疗下肢深静脉血栓形成经验撷要[J].新中医,2014(8):11-12.
[10]张玥,程志新.侯玉芬教授辨证治疗股肿病经验[J].中医学报,2014,29(2):207-208.
[11]陈光,郭洛宏,段浩.辨证治疗下肢深部静脉血栓形成30例[J].时珍国医国药,2000,11(5):456-456.
[12]刘辉,张宏亮.瘀水同治法治疗下肢深静脉血栓形成后遗症38例[J].中医研究,2011,24(12):47-48.
[13]郭小青,霍凤.化痰通络法治疗下肢深静脉血栓形成后遗症36例疗效观察[J].北京中医药,2003,22(4):33-33.
[14]王凤莲,王建英.益气活血利湿法治疗深静脉血栓形成后综合征46例[J].陕西中医,2008,29(2):190-191.
[15]张玉冬,侯玉芬,刘明,等.消栓通脉汤治疗深静脉血栓形成血瘀湿阻证临床研究[J].中华中医药学刊,2013(9):1959-1961.
[16]谢宇峰,蔡光先.消肿止痛散外敷治疗下肢深静脉血栓86例[J].新中医,2010(3):71-72.
[17]郑君,曲芳,李东.外敷祛湿通络汤治疗缺血性脑卒中后下肢深静脉血栓[J].中国实用医药,2015(26):188-189.
[18]倪凤元,李芮.桃核承气汤外敷治疗下肢深静脉血栓形成1例[J].河南中医,2015,35(3):500.
[19]吴红萍,马秀娟.中药外敷治疗急性下肢深静脉血栓的临床观察及护理[J].内蒙古中医药,2008,27(21):172-173.
[20]王玉兰,程进,魏芳.活血消肿散熏洗辅助治疗下肢深静脉血栓患者的护理[J].护理学杂志,2007,22(23):30-31.
[21]张永红,朱彬.补阳还五汤加减熏洗辅助治疗下肢深静脉血栓病人的护理[J].护理研究,2011,25(3):253-254.
[22]邹静,王雁南,宋福晨.中药熏洗配合正负压治疗下肢深静脉血栓形成的护理[J].中国初级卫生保健,2009,23(7):110-111.
[23]王建.温针联合电针治疗中风后下肢静脉血栓疗效观察[J].中西医结合心血管病电子杂志,2017,5(1):178-179.
[24]列莲丽莎.电针加温针治疗下肢静脉血栓[J].中国医药指南,2013(9):634.
[25]刘莹莹,朱靖,马利中.温针灸结合低分子肝素钙治疗脊髓损伤后下肢静脉血栓临床观察[J].浙江中西医结合杂志,2015(4):390-392.
[26]张楠,张洋.冰黄散外敷护理联合丹参川芎嗪注射液治疗骨科术后下肢深静脉血栓形成[J].长春中医药大学学报,2018(1):177.
[27]蔡惠群,王小平.黛柏膏外敷配合中药内服治疗下肢深静脉血栓临床疗效观察[J].上海中医药杂志,2013(6):65-67.
[28]董涛.疏血通注射液联合中药外敷治疗骨科术后下肢深静脉血栓疗效观察[J].辽宁中医药大学学报,2017,19(3):154-156.
[29]刘兴旺.仙方活命饮联合穴位放血疗法治疗下肢静脉血栓60例[J].中国民间疗法,2012,20(12):37-38.
[30]赵悦,高美珠,张思宁.针药联合治疗下肢深静脉血栓形成疗效观察[J].实用中西医结合临床,2017,17(5):14-16.
[31]蒋鸿儒,王悦悦.中西医结合治疗下肢深静脉血栓形成45例疗效观察[J].河北中医,2009,31(4):572-573.
[32]李富昌,杨梅云.中西医结合治疗下肢深静脉血栓形成临床观察[J].湖北中医药大学学报,2013,28(1):63-64.
[33]侯春华,尹红.中西医结合治疗下肢深静脉血栓形成的疗效观察[J].湖北中医杂志,2013,35(11):49-50.
[34]吴澎,朱晓男.中西医结合治疗下肢深静脉血栓形成43例临床研究[J].吉林中医药,2009,29(1):31-32.
[35]吴刚.中西医结合治疗下肢深静脉血栓后综合征103例[J].北京中医药,2010,29(6):431-433.