中西医治疗盆腔炎性疾病的临床用药进展

发布时间:2018-11-24 19:01
【摘要】:目的:为进一步探索中西医结合治疗盆腔炎性疾病(PID)和医疗卫生机构相关中药制剂研发提供参考。方法:以"Pelvic inflammatory disease""盆腔炎性疾病""妇人腹痛""中西医治疗"等为关键词,组合查询2007年至今在Pub Med、中国知网、万方、维普等数据库中收录的相关文献,对PID的分类、病因、特点和中西医临床用药方案及疗效等进行归纳和综述。结果与结论:共检索到相关文献2 369篇,其中有效文献30篇。中西医对PID的分类和病因等的认识均不同。西医治疗该病主要选用抗菌药物,易产生耐药,复发率高,且可能增加不良反应;中医在辨证分型指导下选用内服、外用药或二者相结合治疗该病,在改善临床症状、控制复发、预防并发症等方面疗效确切;中西医结合治疗该病将中医辨证与西医辨病有机结合,治疗方案互为补充,标本兼治,可显著提高疗效。但目前缺乏针对PID不同分型的针对性强、靶向性高的中药制剂,从而为医疗机构相关中药制剂研发提供了机遇。
[Abstract]:Objective: to provide a reference for the research and development of traditional Chinese medicine (TCM) and traditional Chinese medicine (TCM) in the treatment of pelvic inflammatory disease (PID). Methods: taking "Pelvic inflammatory disease", "pelvic inflammatory disease", "abdominal pain of women" and "treatment of traditional Chinese and western medicine" as the key words, the relevant documents collected in the database of Pub Med, from 2007 to present, such as China Zhiwang, Wanfang, Weipu, etc., were selected as the key words, and the classification of PID was analyzed. The etiology, characteristics and therapeutic effects of traditional Chinese and western medicine were summarized and summarized. Results & conclusion: a total of 2 369 related literatures were retrieved, of which 30 were valid. The classification and etiology of PID are different in Chinese and western medicine. Western medicine is mainly used in the treatment of the disease, easy to produce drug resistance, recurrence rate is high, and may increase adverse reactions; Under the guidance of syndrome differentiation, Chinese medicine is effective in improving clinical symptoms, controlling recurrence and preventing complications. The combination of traditional Chinese medicine and western medicine can improve the curative effect. However, there is a lack of targeted and highly targeted traditional Chinese medicine preparations for different PID typing, which provides an opportunity for the development of related Chinese medicine preparations in medical institutions.
【作者单位】: 成都中医药大学药学院;成都中医药大学附属医院;
【基金】:成都中医药大学附属医院课题(No.2016-D-YY-03)
【分类号】:R711.33

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