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中医中药治疗大肠息肉的研究进展

Research progress in the treatment of colorectal polyps with traditional Chinese medicine
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摘要 大肠息肉是指肠黏膜表面突出到肠腔内的隆起状病变,其发生率逐年上升,其中腺瘤性息肉癌病率较高,常以内镜下电凝电切、黏膜切除等治疗为主,术后给予调节肠道菌群药物及保护肠黏膜的药物,但其易复发。本文简述了大肠息肉的中医古籍记载、病因病机及辨证分型,综述近几年国内中医中药治疗大肠息肉的防治进展,具体包括大肠息肉中医内治(经方、验方)、中医外治(中药灌肠)及中医特色治疗(穴位敷贴、按摩、针灸)等综合治疗,充分发挥中医中药在预防大肠息肉术后复发方面的特色和优势,为临床研究提供新的治疗方式。 Colorectal polyps refer to protuberant lesions that protrude from the surface of the intestinal mucosa to the intestinal cavity,and the incidence is increasing year by year.Adenomatous polyps have a high cancer rate,and the treatment is often focused on endoscopic electrocoagulation and electrotomy,and mucosal resection.After the surgery,drugs to regulate gut microbiota and protect intestinal mucosa are given,but diseases are easy to recur.This article briefly describes the ancient Chinese medical records,etiology,pathogenesis,and syndrome differentiation of colorectal polyps,summarizes the progress of prevention and treatment of colorectal polyps with traditional Chinese medicine in recent years,including the comprehensive treatment of colorectal polyps with traditional Chinese medicine,including internal treatment(classical and empirical prescriptions),external treatment(traditional Chinese medicine enema)and special treatment of traditional Chinese medicine(acupoint application,massage,acupuncture and moxibustion),giving full play to the characteristics and advantages of traditional Chinese medicine in preventing postoperative recurrence of colorectal polyps,providing new treatment methods for clinical research.
作者 许亚培 杨铸锋 龙润 XU Yapei;YANG Zhufeng;LONG Run(Department of Digestive Endoscopy,Hebei Provincial Hospital of Traditional Chinese Medicine,Hebei,Shijiazhuang 050011,China)
出处 《中国医药科学》 2023年第21期34-36,98,共4页 China Medicine And Pharmacy
基金 河北省中医药管理局科研计划项目(2021004)。
关键词 中医中药 大肠息肉 息肉切除 复发 Traditional Chinese medicine Colorectal polyps Polypectomy Recurrence
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