|
从“积聚”论治结直肠息肉
|
Abstract:
结直肠息肉病作为消化科常见疾病已受到广泛地关注,西医以内镜下治疗为主,存在复发率高的弊端。随着祖国医学的不断发展,中医药在治疗结直肠息肉以及预防术后复发上有着独特的优势,本文从积聚角度探讨结直肠息肉病因病机,以及多项实验研究不同中医治法在治疗结直肠息肉术后复发的优点,为预防息肉复发提供临床新思路。
Colorectal polyposis, as a common disease of gastroenterology, has been widely concerned. Western medicine focuses on endoscopic treatment, which has the disadvantage of high recurrence rate. With the continuous development of Chinese medicine, traditional Chinese medicine has unique advantages in the treatment of colorectal polyps and the prevention of postoperative recurrence. This paper discusses the etiology and pathogenesis of colorectal polyps from the perspective of accumulation, and studies the advantages of different traditional Chinese medicine treatments in the treatment of postoperative recurrence of colorectal polyps in a number of experiments, providing new clinical ideas for the prevention of recurrence of polyps.
[1] | Conteduca, V., Sansonno, D., Russi, S. and Dammacco, F. (2013) Precancerous Colorectal Lesions (Review). International Journal of Oncology, 43, 973-984. https://doi.org/10.3892/ijo.2013.2041 |
[2] | 宋亚波. 2018年全国癌症统计数据公布[J]. 中华医学信息导报, 2018, 33(7): 6. |
[3] | 李文洁, 商春雨, 桑慧, 周颖, 朱宏. 结直肠息肉发病相关危险因素分析[J]. 胃肠病学和肝病学杂志, 2020, 29(9): 1037-1041. |
[4] | 白图雅, 韩志强. 结直肠息肉危险因素研究现状[J]. 黔南民族医专学报, 2022, 35(2): 151-153. |
[5] | 杨丽萍, 马臻棋, 王学红, 马文霞, 李惠. 肠道菌群与结肠息肉的关系研究进展[J]. 中国医刊, 2022, 57(2): 139-141. |
[6] | Pop, O.L., Vodnar, D.C., Diaconeasa, Z., Istrati, M., Bin?in?an, A., Bin?in?an, V.V., Suharoschi, R. and Gabbianelli, R. (2020) An Overview of Gut Microbiota and Colon Diseases with a Focus on Adenomatous Colon Polyps. International Journal of Molecular Sciences, 21, Article No. 7359. https://doi.org/10.3390/ijms21197359 |
[7] | Xu, J., He, W., Zhang, N., Sang, N. and Zhao, J. (2022) Risk Factors and Correlation of Colorectal Polyps with Type 2 Diabetes Mellitus. Annals of Palliative Medicine, 11, 647-654. https://doi.org/10.21037/apm-21-3943 |
[8] | Maan, M., Peters, J.M., Dutta, M. and Patterson, A.D. (2018) Lipid Metabolism and Lipophagy in Cancer. Biochemical and Biophysical Research Communications, 504, 582-589. https://doi.org/10.1016/j.bbrc.2018.02.097 |
[9] | Wu, H., Huang, Y., Yang, L., Su, K., Tian, S., Chen, X., Li, S. and Liu, W. (2022) Effects of Jianpi Lishi Jiedu Granules on Colorectal Adenoma Patients after Endoscopic Treatment: Study Protocol for a Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Trials, 23, Article No. 345. https://doi.org/10.1186/s13063-022-06236-6 |
[10] | 邱旭东, 钟相根. 《金匮要略》积聚“终不移”与“展转痛移”释义[J]. 中华中医药杂志, 2022, 37(4): 1985-1987. |
[11] | 李奕, 庞博, 刘福栋, 姜晓晨, 花宝金. 基于《增补内经拾遗方论》积聚六篇探讨现代肿瘤病证治[J]. 北京中医药大学学报, 2022, 45(2): 130-134. |
[12] | 安俊平, 刘彬, 师艾丽, 陈启龙. 结肠息肉的临床病理特征及其与癌变的相关分析[J]. 中国医师杂志, 2017, 19(7): 1035-1037+1042. |
[13] | 梁国英, 秦肆辉, 李庆伟. 谢晶日教授从瘀论治大肠息肉的经验[J]. 浙江中医药大学学报, 2022, 46(8): 845-848. |
[14] | 卯银辉, 清浊化湿汤抑制结肠息肉(肠道湿热证)术后再发的临床疗效观察[D]: [硕士学位论文]. 长春: 长春中医药大学, 2021. |
[15] | 修丽娟. 魏品康教授从痰论治多发性结肠息肉[J]. 中国中西医结合消化杂志, 2008, 16(6): 386-387. |
[16] | 赵红波, 吴晓晶, 杨云, 葛志明, 王宏伟. 大肠息肉内镜下形态学特点、病理分型与中医证型的相关性[J]. 世界华人消化杂志, 2020, 28(21): 1068-1075 |
[17] | 顾立梅, 顾超, 夏军权, 奚肇宏, 魏兰福, 结直肠息肉中医证型分布规律及与血脂水平的相关性研究[J]. 江苏中医药, 2016, 54(8): 45-49. |
[18] | 张旭, 韩树堂. 刘沈林教授中医治疗结肠息肉经验撷粹[J]. 天津中医药, 2021, 38(5): 581-585. |
[19] | 单永改, 刘万里, 吴昊. 健脾利湿解毒方治疗大肠息肉内镜下治疗术后脾虚湿毒证31例临床研究[J]. 江苏中医药, 2022, 54(8): 45-49. |
[20] | 钟晓锋. 参苓白术散加减防治结肠息肉术后再发的疗效探析[J]. 内蒙古中医药, 2021, 40(3): 41-42. |
[21] | 马晓霖, 王素霞. 电针防治多发性腺瘤性结肠息肉再发的临床观察[J]. 上海中医药大学学报, 2007, 21(1): 27-28. |
[22] | 魏良宝. 四逆散化裁联合艾灸治疗腹泻型结肠息肉术后患者临床观察[J]. 光明中医, 2019, 34(23): 3546-3548. |
[23] | 游福年, 廖慧清. 中药灌肠用于肠息肉摘除术后的疗效观察[J]. 中医外治杂志, 2020, 29(1): 56-57. |