| 贾明艳,邓永文,张全辉,王金龙,黄飞鸿,周一多,易浩然.中医药治疗放射性直肠炎新进展[J].实用中西医结合临床,2021,21(14): |
| 中医药治疗放射性直肠炎新进展 |
| New progress in treatment of radiation proctitis with traditional Chinese medicine |
| 投稿时间：2021-05-22 修订日期：2021-07-07 |
| DOI： |
| 中文关键词: 放射性直肠炎 中医药 综述 |
| 英文关键词: Radiation proctitis Traditional Chinese medicine review |
| 基金项目: |
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| 中文摘要: |
| 放射性直肠炎（Radiation Proctitis, RP）是一种特殊的直肠炎症，为直肠或者骨盆内脏器在放疗时或放疗后发生的直肠炎症。在中医学中，又名“肠澼”、“泄泻”、“痢疾”，也归属于“肠风”、“脏毒”、“便血”、“内痈”等范畴[1]。按照病程的长短，该病有急慢性之分，一般情况下，3个月为急慢性直肠炎的分界点[2]。该病病位在肠腑，与脾胃相关，病久易损及肝肾。病机为本虚标实，风、寒、湿、热、火、瘀、毒等均可为该病的病理因素。中医对于放射性直肠炎的辨证分型大致可分为湿热蕴结、寒热错杂、脾虚湿困、脾肾阳虚、阴虚津亏、气血两虚等。治疗上，西医尚没有标准的治疗方案，临床上主要采用抗炎、抗感染、止泻、止血等方法对症治疗。中医以补虚泻实为主，辨证使用中药内服或灌肠，口服联合灌肠亦常见。此外，针灸、穴位埋针、穴位注射等中医疗法也在临床中有所应用。该病中医疗效显著，安全性好，但目前尚缺乏多中心、大样本的临床研究。本文对祖国医学治疗放射性直肠炎的现有研究进行了综述。现报道如下： |
| 英文摘要: |
| Radiation Proctitis is a special kind of rectal inflammation, which is caused by the rectum or pelvic organs during or after radiotherapy. The disease is located in the intestines, related to the spleen and stomach, and is prone to damage the liver and kidney for a long time. The pathogenesis of this disease is the basic deficiency and the standard is solid. wind, cold, dampness, heat, fire, blood stasis, poison and food can all be the pathological factors of this disease. TCM syndrome differentiation and classification of radioactive proctitis can be roughly divided into dampness-heat accumulation, cold-heat mixed, spleen-deficiency dampness, spleen-kidney Yang deficiency, Yin deficiency, Qi and blood deficiency. The treatment is mainly to replenish deficiency and reduce compaction. Internal administration of traditional Chinese medicine or enema is used for syndrome differentiation, oral combined enema is also common. In addition, acupuncture and moxibustion, acupoint embedding, acupoint injection and other traditional Chinese medicine therapies have also been applied in clinical practice, which need further study. This chapter reviews the existing research on radiation proctitis in Chinese medicine. |
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