顽固性黄疸的中西医结合治疗现状及展望

发布时间：2018-01-05 05:24

本文关键词：顽固性黄疸的中西医结合治疗现状及展望　出处：《广州中医药大学》2006年硕士论文　论文类型：学位论文

【摘要】：目的:在分析近年来顽固性黄疸研究资料的基础上,系统分析中医、西医、中西医结合诊治顽固性黄疸的现状及其各自的优势与不足,并从总体上比较,中西医结合诊治顽固性黄疸的疗效是否优于单纯用中医或西医治疗。目前尚没有一个统一的中西医结合治疗顽固性黄疸的方案,笔都想通过本文寻找一个较完善的中西医结合治疗方案,以提高顽固性黄疸中医辨证的准确性和预见性,从而更好地指导临床用药。方法:本文主要通过参考从1989年以来关于顽固性黄疸的文献,并通过一个横向比较从中总结出一个中西医结合治疗顽固性黄疸的最佳治疗方案。成果:顽固性黄疸是一个非常难治疗的疾病,我们应借鉴现代医学对顽固性黄疸诊治成果,利用其相关理论、技术和方法,尝试从新的视角对加强中西医结合诊治顽固性黄疸的临床及实验研究,应从以下几点做起:①把握顽固性黄疸的基本病理,抓住“湿、热、瘀、毒”基本病理特点。②辨病与辨证相结合,分期论治与辨症治疗相结合。③宏观辨证与微观辨证有机结合,积极借鉴现代医学检测手段,以探讨顽固性黄疸各种实验检测指标的临床辩证意义。④广泛深入开展中医药治疗顽固性黄疸的临床与实验研究,引入循证医学研究方法补充我们临床辨病、辨证和治疗方面的不足和错漏。结论:顽固性黄疸是一个非常难治疗的疾病,临床很多证型与病人的症状、血液及病理学实验结果有关联,所以临床因素对提高中医辨证准确性及治愈率非常有用,对进一步做好中西医两个系统的相互渗透对推动研究中西医结合治疗顽固性黄疸领域研究的深入开展具有重要意义,可进一步提高顽固性黄疸中西医治疗研究水平。
[Abstract]:Objective: on the basis of analyzing the research data of intractable jaundice in recent years, the present situation of diagnosis and treatment of refractory jaundice with traditional Chinese medicine, western medicine, combination of traditional Chinese medicine and western medicine and their respective advantages and disadvantages were systematically analyzed and compared in general. The curative effect of integrated traditional Chinese and western medicine in the diagnosis and treatment of refractory jaundice is superior to that of traditional Chinese medicine or western medicine alone. At present, there is not a unified combination of traditional Chinese and Western medicine treatment of refractory jaundice program, the pen is looking for a more complete combination of traditional Chinese and Western medicine treatment plan through this paper. In order to improve the accuracy and predictability of TCM syndrome differentiation of refractory jaundice, so as to better guide clinical medication. Methods: this article mainly refers to the literature on refractory jaundice since 1989. And through a horizontal comparison, a combination of traditional Chinese and Western medicine treatment of refractory jaundice the best treatment. Results: refractory jaundice is a very difficult disease to treat, we should learn from the diagnosis and treatment of refractory jaundice in modern medicine, use its related theory, technology and methods. In order to strengthen the clinical and experimental study on the diagnosis and treatment of refractory jaundice from a new angle of view, we should grasp the basic pathology of refractory jaundice from the following points: "dampness, heat and blood stasis". The basic pathological characteristics of toxin are as follows: combining disease differentiation with syndrome differentiation, combining treatment by stages with syndrome differentiation, combining macro syndrome differentiation with micro syndrome differentiation, and actively learning from modern medical examination methods. In order to explore the clinical dialectical significance of various experimental indicators of intractable jaundice, the clinical and experimental research on the treatment of intractable jaundice with traditional Chinese medicine (TCM) was carried out extensively and deeply, and the method of evidence-based medicine was introduced to supplement our clinical diagnosis. Deficiency and omission in differentiation and treatment. Conclusion: intractable jaundice is a very difficult disease to treat. Many clinical syndromes are associated with symptoms, blood and pathological findings. So clinical factors to improve the accuracy of TCM syndrome differentiation and cure rate is very useful. It is of great significance to further improve the penetration of the two systems in the field of research on the treatment of intractable jaundice with integrated Chinese and western medicine. Can further improve the intractable jaundice research level of traditional Chinese and western medicine treatment.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R575;R256.4

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