中医药治疗非酒精性脂肪肝的研究进展
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摘要
随着人民生活水平的提高和生活方式的改变,非酒精性脂肪性肝病(NAFLD)已成为困扰更多人的常见慢性肝病,它是由非过量饮酒引起的一种代谢应激性肝脏损伤,主要表现为肝实质细胞的脂肪变性和贮积,中医根据其主要症状命名为"肝癖"、"肝积"等。近些年来研究表明,中医药治疗NAFLD的优势越来越突出,文章对近些年关于中医药治疗非酒精性脂肪性肝病的研究文献进行系统分析,以期为临床相关研究提供文献参考依据。
With the improvement of living standard and the change of life way, non-alcoholic fatty liver disease(NAFLD) has become a common chronic liver disease which has puzzled more people. NAFLD is a kind of metabolic stress liver injury caused by nonexcessive alcohol consumption. It is mainly characterized by fatty degeneration and storage of parenchymal hepatic cells. Traditional Chinese medicine has been named it as "Ganpi" or "Ganji" according to its main symptoms. In recent years, clinical studies have shown that Chinese medicine has become more and more prominent in the treatment of NAFLD. According to these, the researches about the treatment of NAFLD with traditional Chinese medicine are analyzed systematically, which provides a reference for clinical research.
With the improvement of living standard and the change of life way, non-alcoholic fatty liver disease(NAFLD) has become a common chronic liver disease which has puzzled more people. NAFLD is a kind of metabolic stress liver injury caused by nonexcessive alcohol consumption. It is mainly characterized by fatty degeneration and storage of parenchymal hepatic cells. Traditional Chinese medicine has been named it as "Ganpi" or "Ganji" according to its main symptoms. In recent years, clinical studies have shown that Chinese medicine has become more and more prominent in the treatment of NAFLD. According to these, the researches about the treatment of NAFLD with traditional Chinese medicine are analyzed systematically, which provides a reference for clinical research.
引文
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[16]徐森华,辜新奇,徐成兴.消脂方治疗湿热型非酒精性脂肪性肝病患者的临床疗效评价[J].世界中医药,2016,11(8):1524-1526,1529.
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[18]李军祥,王允亮,郭一,等.中医药治疗非酒精性脂肪性肝病专题笔谈[J].中国中西医结合消化杂志,2017,25(11):801-804.
[19]高鹰,周颖.胆宁片联合多烯磷脂酰胆碱胶囊治疗非酒精性脂肪肝的疗效观察[J].现代药物与临床,2017,32(3):464-467.
[20]欧强,徐燕华,曲立娟,等.强肝胶囊对非酒精性脂肪性肝病患者胰岛素抵抗指数和肝纤维化评分的影响[J].临床肝胆病杂志,2016,32(10):1951-1954.
[21]李朝敏,龚枚,李明权,等.当飞利肝宁胶囊治疗非酒精性单纯性脂肪肝患者113例临床研究[J].中医杂志,2012,53(1):38-41.
[22]赵世印,邱华,贺琴,等.绞股蓝皂苷对2型糖尿病合并非酒精性脂肪性肝病模型大鼠肝纤维化影响[J].医药导报,2014,33(2):156-159.
[23]王思源,徐秋阳,张文洁,等.山楂叶提取物治疗实验性大鼠脂肪肝药效研究[J].中华中医药杂志,2011(12):2955-2959.
[24]劳雪玲,陈华梅,郑薇英,等.三七粉对非酒精性脂肪肝防治作用的实验研究[J].右江民族医学院学报,2014,36(2):182-183.
[25]张秋玲.针刺治疗非酒精性脂肪肝的疗效观察与护理[J].中国社区医师,2015,31(32):153,155.
[26]夏水渊.针刺配合中药治疗非酒精性脂肪肝疗效观察[J].临床研究,2015,34(5):428-430.
[27]卢利仁,黄振.超声评价穴位埋线配合药物治疗非酒精性脂肪性肝病的疗效[J].上海针灸杂志,2014,33(11):1016-1017.
[28]周晓玲,谢胜,侯秋科.穴位埋线对非酒精性脂肪肝足三阴经穴位皮温的影响[J].实用临床医药杂志,2011,15(19):40-42.
[2]赵丽华.非酒精性脂肪肝中医分型相关因素研究进展[J].亚太传统医药,2015,11(16):45-49.
[3]孙建光.脂肪肝中医病因病机探析[J].中医临床研究,2011,3(5):15-17.
[4]邱汉平,李尝赐,林昆明,等.非酒精性脂肪肝的中医病因病机和证候特点分析[J].中外医学研究,2014,12(25):62-64.
[5]周韶虹.张云鹏辨治非酒精性脂肪性肝病经验[J].上海中医药杂志,2011,45(2):4-5.
[6]邹必英.非酒精性脂肪肝病因病机浅析[J].山东中医杂志,2013,32(5):301-302.
[7]廖芸,王静滨,谢晶日.谢晶日教授治疗非酒精性脂肪性肝病经验浅析[J].中国中医急症,2013,22(4):589-590.
[8]高文艳,王长洪.王长洪教授治疗脂肪肝经验[J].辽宁中医药大学学报,2013,15(9):168-169.
[9]张红雨.100例非酒精性脂肪肝的辨证施护[J].中国民间疗法,2014,22(8):86-87.
[10]胡子毅,叶菁.蒋小敏教授辨治非酒精性脂肪肝经验[J].河北中医,2015,37(12):1768-1771.
[11]梁浩卫,赵文霞.赵文霞教授治疗非酒精性脂肪性肝病经验[J].光明中医,2014,29(1):157-158.
[12]曲万利.辨证治疗非酒精性脂肪肝65例[J].河南中医,2012,32(7):843.
[13]廖芸.谢晶日教授治疗非酒精性脂肪肝辨证用药规律研究[D].黑龙江:黑龙江中医药大学,2013.
[14]吕金仓,白亚平.李佃贵教授浊毒证用药经验介绍[J].新中医,2013,45(5):193-195.
[15]张莉娜,潘继波.化痰利湿活血方治疗非酒精性脂肪性肝炎临床研究[J].山东中医杂志,2013,32(10):712-713.
[16]徐森华,辜新奇,徐成兴.消脂方治疗湿热型非酒精性脂肪性肝病患者的临床疗效评价[J].世界中医药,2016,11(8):1524-1526,1529.
[17]薛雷.保肝消脂汤加减辨治脂肪肝的临床研究[J].中国中医基础医学杂志,2014,20(11):1588-1590.
[18]李军祥,王允亮,郭一,等.中医药治疗非酒精性脂肪性肝病专题笔谈[J].中国中西医结合消化杂志,2017,25(11):801-804.
[19]高鹰,周颖.胆宁片联合多烯磷脂酰胆碱胶囊治疗非酒精性脂肪肝的疗效观察[J].现代药物与临床,2017,32(3):464-467.
[20]欧强,徐燕华,曲立娟,等.强肝胶囊对非酒精性脂肪性肝病患者胰岛素抵抗指数和肝纤维化评分的影响[J].临床肝胆病杂志,2016,32(10):1951-1954.
[21]李朝敏,龚枚,李明权,等.当飞利肝宁胶囊治疗非酒精性单纯性脂肪肝患者113例临床研究[J].中医杂志,2012,53(1):38-41.
[22]赵世印,邱华,贺琴,等.绞股蓝皂苷对2型糖尿病合并非酒精性脂肪性肝病模型大鼠肝纤维化影响[J].医药导报,2014,33(2):156-159.
[23]王思源,徐秋阳,张文洁,等.山楂叶提取物治疗实验性大鼠脂肪肝药效研究[J].中华中医药杂志,2011(12):2955-2959.
[24]劳雪玲,陈华梅,郑薇英,等.三七粉对非酒精性脂肪肝防治作用的实验研究[J].右江民族医学院学报,2014,36(2):182-183.
[25]张秋玲.针刺治疗非酒精性脂肪肝的疗效观察与护理[J].中国社区医师,2015,31(32):153,155.
[26]夏水渊.针刺配合中药治疗非酒精性脂肪肝疗效观察[J].临床研究,2015,34(5):428-430.
[27]卢利仁,黄振.超声评价穴位埋线配合药物治疗非酒精性脂肪性肝病的疗效[J].上海针灸杂志,2014,33(11):1016-1017.
[28]周晓玲,谢胜,侯秋科.穴位埋线对非酒精性脂肪肝足三阴经穴位皮温的影响[J].实用临床医药杂志,2011,15(19):40-42.