中西医结合治疗胆囊切除术后综合征的研究进展
|
摘要
胆囊切除术后综合征(Postcholecystectomy syndrome,PCS)是消化内科常见疾病之一,在我国,其发病率逐年增高。目前临床上尚缺乏特异性的治疗手段,中西医结合是现阶段临床疗效较好的治疗方法,可以降低PCS的复发率、缩短其病程、且不良反应发生率也较低。本文从辨证论治、中医专方联合西药治疗、经验方联合西药治疗、中成药联合西医治疗、针灸联合西医治疗等5个方面对于PCS的中西医治疗进行了总结。
Postcholecystectomy syndrome( Postcholecystectomy syndrome, PCS) is one of the common diseases of digestive diseases. In China,the incidence rate increases year by year. At present there is a lack of specific clinical treatment. Combination of traditional Chinese and Western medicine therapy clinical stage is better. It can reduce the recurrence rate of PCS,shorten the course of disease,and the incidence of adverse reaction is lower. Through treatment based on TCM syndrome differentiation,special prescription combined with western medicine treatment,experience plus Western medicine,Chinese medicine and Western medicine,acupuncture and moxibustion combined with western medicine in treatment of 5 aspects for cholecystectomy,combined treatment of traditional Chinese and Western medicine of PCS is summarized.
Postcholecystectomy syndrome( Postcholecystectomy syndrome, PCS) is one of the common diseases of digestive diseases. In China,the incidence rate increases year by year. At present there is a lack of specific clinical treatment. Combination of traditional Chinese and Western medicine therapy clinical stage is better. It can reduce the recurrence rate of PCS,shorten the course of disease,and the incidence of adverse reaction is lower. Through treatment based on TCM syndrome differentiation,special prescription combined with western medicine treatment,experience plus Western medicine,Chinese medicine and Western medicine,acupuncture and moxibustion combined with western medicine in treatment of 5 aspects for cholecystectomy,combined treatment of traditional Chinese and Western medicine of PCS is summarized.
引文
[1]JAUNOO S S,MOHANDAS S,ALMOND L M.Postcholecystectomy syndrome(PCS)[J].International Journal of Surgery,2010,8(1):15-17.
[2]孙飞,彭海燕.胆囊切除术后综合征的中医认识和治疗进展[J].世界华人消化杂志,2010,16:1694-1700.
[3]王红,顾勤.胆囊切除术后综合征中医病机及辨证分型探讨[J].中医学报,2011(3):283-285.
[4]杨彪.胆囊切除术后综合症中医治疗[J].甘肃科技纵横,2014(2):93-94.
[5]余首德.胆囊术后综合征辨证论治[J].实用中医内科杂志,2012(10):74-75.
[6]王东亮,黄雅慧.黄雅慧教授治疗胆囊术后综合征的临床经验[J].光明中医,2015(4):719-721.
[7]马治贫,孙权.中西医结合治疗在急性胆囊炎胆囊切除术患者术后康复中的效果观察[J].淮海医药,2017(1):63-65.
[8]谭永东,程勇,王鹓,等.健脾温肾法治疗胆囊切除术后综合征[J].河南中医,2016(2):255-256.
[9]孙云孝,王守国.柴胡疏肝散加减联合西药治疗胆囊切除术后综合征临床研究[J].河南中医,2015(1):186-188.
[10]张斌,江共涛,胡伟.柴胡疏肝散联合西药治疗胆囊切除术后综合征43例[J].中国中医药现代远程教育,2015(23):53-54.
[11]金辉,张翥,戴向红.柴胡疏肝散加味联合西药治疗胆囊单纯切除术后胆道功能紊乱综合征对照观察[J].实用中医内科杂志,2012(10):42-43.
[12]李伟.大柴胡汤治疗行胆囊切除术后胃肠功能紊乱临床疗效观察[J].辽宁中医药大学学报,2016(12):101-103.
[13]王占风.小柴胡汤合四君子汤治疗胆囊术后腹泻94例[J].光明中医,2016(17):2489-2491.
[14]陈祥建,王海波,郑晓风.中西医结合治疗胆囊切除术后综合征临床观察[J].中华中医药学刊,2012(4):918-919.
[15]彭逸潮.双歧三联活菌联合补中益气丸治疗腹腔镜胆囊切除术后腹泻临床观察[J].广州医药,2016(5):28-31.
[16]陆永海.双歧三联活菌胶囊联合理中汤合痛泻要方治疗胆囊切除术后腹泻临床观察[J].新中医,2015(4):97-98.
[17]高明超.中西医结合治疗胆囊切除术后综合征25例[J].中国药物经济学,2012(2):153-154.
[18]沈学香.自拟胆囊术后方结合西医治疗胆囊切除术后综合征36例疗效观察[J].中医临床研究,2014(36):141-143.
[19]赵开产,魏海梁.通胆方联合西药治疗胆囊切除术后综合征临床研究[J].现代中医药,2016(5):48-50.
[20]赵丹,童仕伦.自拟扶胆汤对腹腔镜胆囊切除术后胆型Oddi括约肌功能障碍的防治效果观察[J].四川中医,2016(9):117-120.
[21]高允海.愈胆汤防治胆囊切除术后综合征的临床与实验研究[D].沈阳:辽宁中医药大学,2016(3):21-28.
[22]张海峰.中西医结合治疗老年腹腔镜胆囊切除术后综合征的临床观察[J].中医药学报,2016(5):102-104.
[23]郑学聚.自拟疏肝利胆汤中西医结合治疗胆囊切除术后综合征27例[J].中国保健营养,2013(8):2111.
[24]夏永红.胆舒胶囊联合马来酸曲美布汀治疗胆囊切除术后胆源性腹痛的疗效观察[J].临床合理用药杂志,2012(24):81,83.
[25]闫威.胆舒胶囊治疗胆囊切除术后综合征38例[J].中国药业,2014(6):79.
[26]邓金芳,饶明.中西医结合治疗胆囊切除术后胆管Ⅱ型Oddi括约肌功能障碍的临床观察[J].胃肠病学和肝病学杂志,2013(6):588-590.
[27]刘磊,王建华,徐泽彪,等.金钱大柴胡汤联合西药对改善单纯胆囊切除术后胆总管蠕动的临床观察[J].中西医结合研究,2013(3):121-124.
[28]余德刚,赵礼金,蔡治方,等.中西医结合治疗胆囊切除术后综合征56例[J].现代中西医结合杂志,2006(1):61-62.
[2]孙飞,彭海燕.胆囊切除术后综合征的中医认识和治疗进展[J].世界华人消化杂志,2010,16:1694-1700.
[3]王红,顾勤.胆囊切除术后综合征中医病机及辨证分型探讨[J].中医学报,2011(3):283-285.
[4]杨彪.胆囊切除术后综合症中医治疗[J].甘肃科技纵横,2014(2):93-94.
[5]余首德.胆囊术后综合征辨证论治[J].实用中医内科杂志,2012(10):74-75.
[6]王东亮,黄雅慧.黄雅慧教授治疗胆囊术后综合征的临床经验[J].光明中医,2015(4):719-721.
[7]马治贫,孙权.中西医结合治疗在急性胆囊炎胆囊切除术患者术后康复中的效果观察[J].淮海医药,2017(1):63-65.
[8]谭永东,程勇,王鹓,等.健脾温肾法治疗胆囊切除术后综合征[J].河南中医,2016(2):255-256.
[9]孙云孝,王守国.柴胡疏肝散加减联合西药治疗胆囊切除术后综合征临床研究[J].河南中医,2015(1):186-188.
[10]张斌,江共涛,胡伟.柴胡疏肝散联合西药治疗胆囊切除术后综合征43例[J].中国中医药现代远程教育,2015(23):53-54.
[11]金辉,张翥,戴向红.柴胡疏肝散加味联合西药治疗胆囊单纯切除术后胆道功能紊乱综合征对照观察[J].实用中医内科杂志,2012(10):42-43.
[12]李伟.大柴胡汤治疗行胆囊切除术后胃肠功能紊乱临床疗效观察[J].辽宁中医药大学学报,2016(12):101-103.
[13]王占风.小柴胡汤合四君子汤治疗胆囊术后腹泻94例[J].光明中医,2016(17):2489-2491.
[14]陈祥建,王海波,郑晓风.中西医结合治疗胆囊切除术后综合征临床观察[J].中华中医药学刊,2012(4):918-919.
[15]彭逸潮.双歧三联活菌联合补中益气丸治疗腹腔镜胆囊切除术后腹泻临床观察[J].广州医药,2016(5):28-31.
[16]陆永海.双歧三联活菌胶囊联合理中汤合痛泻要方治疗胆囊切除术后腹泻临床观察[J].新中医,2015(4):97-98.
[17]高明超.中西医结合治疗胆囊切除术后综合征25例[J].中国药物经济学,2012(2):153-154.
[18]沈学香.自拟胆囊术后方结合西医治疗胆囊切除术后综合征36例疗效观察[J].中医临床研究,2014(36):141-143.
[19]赵开产,魏海梁.通胆方联合西药治疗胆囊切除术后综合征临床研究[J].现代中医药,2016(5):48-50.
[20]赵丹,童仕伦.自拟扶胆汤对腹腔镜胆囊切除术后胆型Oddi括约肌功能障碍的防治效果观察[J].四川中医,2016(9):117-120.
[21]高允海.愈胆汤防治胆囊切除术后综合征的临床与实验研究[D].沈阳:辽宁中医药大学,2016(3):21-28.
[22]张海峰.中西医结合治疗老年腹腔镜胆囊切除术后综合征的临床观察[J].中医药学报,2016(5):102-104.
[23]郑学聚.自拟疏肝利胆汤中西医结合治疗胆囊切除术后综合征27例[J].中国保健营养,2013(8):2111.
[24]夏永红.胆舒胶囊联合马来酸曲美布汀治疗胆囊切除术后胆源性腹痛的疗效观察[J].临床合理用药杂志,2012(24):81,83.
[25]闫威.胆舒胶囊治疗胆囊切除术后综合征38例[J].中国药业,2014(6):79.
[26]邓金芳,饶明.中西医结合治疗胆囊切除术后胆管Ⅱ型Oddi括约肌功能障碍的临床观察[J].胃肠病学和肝病学杂志,2013(6):588-590.
[27]刘磊,王建华,徐泽彪,等.金钱大柴胡汤联合西药对改善单纯胆囊切除术后胆总管蠕动的临床观察[J].中西医结合研究,2013(3):121-124.
[28]余德刚,赵礼金,蔡治方,等.中西医结合治疗胆囊切除术后综合征56例[J].现代中西医结合杂志,2006(1):61-62.