摘要
腺性膀胱炎作为泌尿外科的一种常见病,病情迁延反复,对患者的身体和心理造成了极大的伤害。因其潜在的致癌性决定了必当以手术作为一线治疗方案,但手术及术后化学药物治疗并没有提高患者的生存质量,甚至给患者带来极大的经济和身心负担。分析近年来国内外学者治疗本病的方法和经验认为,在常规西医治疗的基础上加用中药汤剂口服、灌注或中成药治疗,不仅能提高患者临床疗效,还可降低手术和西药灌注疗法导致的不良反应,并且能改善患者的临床症状。中医学是以整体观念和辨证论治为诊疗特点,在临证遣方和成药制剂方面给广大临床医师提供了更为安全可靠的备选方案,同时也提高腺性膀胱炎患者的生存质量。因此,运用西医治疗根除病变组织,中医结合病因病机采用固本祛邪疗法治疗可降低成本,提高临床疗效。目前,中西医结合治疗腺性膀胱炎存在的问题是,中医药缺乏系统化、理论化的大样本临床随机对照试验研究,尤其缺乏远期疗效的观察,导致结论缺少循证医学证据,限制了临床应用。因此,今后研究重点应放在中西医结合治疗腺性膀胱炎的临床疗效观察上,以循证医学理念,开展多学科合作,突出中西医结合治疗腺性膀胱炎的优势。
As a common disease of urology,cystitis glandularis is a prolonged disease and it does great harm to patients＇ body and mind. Because of its potential carcinogenicity,surgery should be the first choice of the first-line treatment,but surgery and postoperative chemical infusion cannot improve the quality of life of patients to some extent,and even brought great economic as well as mind and body burden. By analysis of the treatment of the disease ideas and experiences in recent years of the domestic and foreign scholars,it is found that the use of traditional Chinese medicine decoction oral,perfusion or Chinese patent medicine treatment based on the use of western medicine not only can improve the clinical efficacy of patients but also can reduce the adverse reactions that be led to by the surgery and western medicine infusion therapy as well as can improve patient＇s clinical symptoms. Traditional Chinese medicine is characterized by the concept of Holism and syndrome differentiation. It provides clinicians with safer and more reliable alternatives to clinical practitioners and drug agents and also improves the quality of life of patients with cystitis glandularis. Therefore,the use of Western medicine to eradicate lesions and Chinese medicine combined with the etiology and pathogenesis of the use of solid cure Quxie therapy can reduce costs and clinical efficacy. At present,the existing problem of the traditional Chinese and Western medicine treatment of glandular cystitis is that there is a lack of systematic and theoretical large-scale clinical trials of traditional Chinese medicine,randomized controlled trials,in particular a lack of long-term efficacy of the observation,which leads to conclusions that lacks evidence-based medicine; hence its clinical application is limited. Therefore,the future research should focus on the clinical efficacy of integrated treatment of glandular cystitis with traditional Chinese and western medicine observation,evidence-based philosophy,multi-disciplinary cooperation,and the
作者
吕双喜
沈建武
高瞻
LYU Shuangxi1,2, SHEN Jianwu2, GAO Zhan2(1.Beijing University of Chinese Medicine,Beijing China 100029; 2. Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing China 10009)
出处
《中医学报》
CAS
2018年第3期491-495,共5页
Acta Chinese Medicine
基金
北京市中医药科技项目(JJ2011-78)
北京市科技计划首都临床特色应用研究(Z14107002514161)
中国中医科学院西苑医院育才人才培养计划
关键词
腺性膀胱炎
清热利湿通淋
解毒化瘀散结
补肾益气
疏肝利胆
中医药疗法
中西医结合
glandular cystitis
Qingre Lishi and Tonglin
Jiedu Huayu and Sanjie
Bushen Yiqi
Shugan Lidan
Chinese medicine therapy
Integrative medicine
