摘要
回顾近15年对于恶性肿瘤术后下肢淋巴水肿的治疗,西医临床常用的治疗方法中,目前尚无安全有效的治疗药物;手术治疗方式多样,疗效存有争议;保守治疗中综合消肿疗法较为安全有效,但国内开展此项目的地区较少,大部分淋巴水肿患者得不到有效治疗。中医认为本虚标实、正邪错杂是本病的特点,其主要致病因素为气(虚、滞)、血(虚、瘀)、湿、热,治疗上应攻补兼施,标本同治,临床常用疗法包括中药内服、中药外治、针刺疗法等,都可有效缓解症状,改善生活质量,显示了中医药的诊疗优势。
The treatment of lower limb lymphedema(LLL)after gynecological tumor surgery in recent 15 years was reviewed.Currently,there is no safe and effective therapeutic drug in the common clinical treatment methods of western medicine.Surgical treatment methods are various and the curative effect is controversial.Complete decongestion therapy(CDT)is relatively safe and effective in conservative treatment,but there are few regions in China where this project is carried out,and most patients with lymphedema cannot get effective treatment.Traditional Chinese medicine believes that the characteristics of this disease are deficiency in root cause and excess in manifestation and intermingled vital qi and pathogen.The main pathogenic factors are qi deficiency or qi stagnation,blood deficiency or blood stasis,dampness and heat.Reinforcement and elimination in combination and treating manifestation and root cause at the same time should be taken on the treatment.Common clinical therapies,including internal and external application of Chinese herbs and acupuncture therapy,can effectively relieve symptoms and improve the quality of life,showing the advantages of traditional Chinese medicine in diagnosis and treatment.
作者
郭昊然
赵天易
赵美丹
潘兴芳
陈泽林
郭义
GUO Haoran;ZHAO Tianyi;ZHAO Meidan;PAN Xingfang;CHEN Zelin;GUO Yi(Colledge of Acupuncture-Moxibustion and Tuina,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《环球中医药》
CAS
2020年第3期511-517,共7页
Global Traditional Chinese Medicine
基金
国家自然基金面上项目(81573882)
国家重点基础研究发展计划(“973”计划)(2014CB543201)
天津市自然科学基金(18JCYBJC94100)。
关键词
妇科恶性肿瘤
下肢淋巴水肿
中医药疗法
西医疗法
中西医结合
临床研究
Gynecologic malignant tumor
Lower limb lymphedema
Traditional Chinese medicine treatment
Western medicine treatment
Integrated Chinese and western medicines
Clinical research
