摘要
肝硬化肌肉减少症是肝硬化患者中常见的并发症,其发病率随着肝硬化病情的进展而增加。该病不仅影响患者的生活质量,还与预后不良密切相关。在病理机制方面,中医认为肝硬化肌肉减少症主要与气血阴阳失衡有关,而西医则认为其与高氨血症、炎症、胰岛素抵抗等因素有关。治疗上,中医治疗侧重于调和脏腑、补益气血,通过草药、针灸和气功锻炼等方法来改善疾病症状。西医治疗则侧重于控制肝硬化进展、改善营养状况、调节代谢水平以及必要时的介入治疗。本文综合分析了中西医对肝硬化肌肉减少症发病机制的认识,并探讨了各自的治疗策略,旨在为临床治疗提供综合治疗的新思路,以期改善肝硬化患者肌肉减少症的症状,提高其生活质量。
Cirrhotic sarcopenia is a common complication among cirrhotic patients,and its incidence increases with the progression of cirrhosis.The condition not only affects the quality of life of patients,but is also closely related to poor prognosis.In terms of pathological mechanisms,Chinese medicine believes that cirrhosis myasthenia gravis is mainly related to the imbalance of qi,blood,yin,and yang,while Western medicine believes that it is related to factors such as hyperammonemia,inflammation,and insulin resistance.In terms of treatment,Chinese medicine focuses on regulating internal organs,tonifying qi and blood,and improving disease symptoms through herbs,acupuncture,and qigong exercises.Western medical treatment focuses on controlling the progression of cirrhosis,improving nutritional status,regulating metabolic levels,etc,as well as interventional therapy when necessary.This article comprehensively analyses the understanding of Chinese and Western medicine on the pathogenesis of cirrhosis,myasthenia gravis,and discusses their respective therapeutic strategies,with the aim of providing new ideas for integrated treatment in clinical therapy,with a view to improving the symptoms of myasthenia gravis in patients with liver cirrhosis and improving their quality of life.
作者
马国娟
青磊
罗琪
黄良江
刘守琴
洪杨
付蕾
姚春
MA Guo-juan;QING Lei;LUO Qi;YAO Chun(Graduate School of Guangxi University of Chinese Medicine,Nanning,530200,China)
出处
《中西医结合肝病杂志》
2026年第1期114-119,共6页
Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
基金
广西疑难重症中医诊疗研究团队(No.2022A001)
姚春桂派中医大师传承工作室(No.GZY2024002)
广西中医药通阳散结法重点研究室项目
国家中医药管理局高水平中医药重点学科建设项目-中医内科学(No.zyyzdxk-2023166)
中医学广西一流学科(桂教科研[2022]1号)。
关键词
肝硬化
肌肉减少症
发病机制
治疗策略
cirrhosis myasthenia gravis
pathogenesis
therapeutic strategies
traditional Chinese medicine
