老年人工股骨头置换术后隐性失血是影响手术的重要因素之一,手术后机体生理、病理的变化是一个较为复杂的过程.目前中医对其病因病机尚无系统研究.临床中常存在辨证思维局限,难以客观、全面揭示该病病因病机的特点,进而导致遣方用药难以把握.该文旨在对老年人工股骨头置换术后隐性失血的病因病机进行探讨,认为该病的证候特点为气血亏虚兼瘀,病性为本虚标实,病位肝脾肾,其中气血亏虚贯穿疾病始终,而气为关键.
Hidden blood loss after artificial femoral head replacement in the elderly is one of the important factors affecting the operation,and the change of physiology and pathology after operation is a complicated process.At present,there is no systematic study on its etiology and pathogenesis in traditional Chinese medicine.In clinical practice,there are limitations of dialectical thinking,which make it difficult to objectively and comprehensively reveal the characteristics of the etiology and pathogenesis of the disease,and difficult to prescribe.The purpose of this paper is to explore the etiology and pathogenesis of hidden blood loss after artificial femoral head replacement in the elderly.It is considered that the syndrome of the disease is characterized by deficiency of qi and blood and blood stasis,and the disease is based on deficiency of liver,spleen and kidney,in which deficiency of qi and blood runs through the disease all the time,and qi is the key.
徐林;尹兆梅;尹安高
腾冲市人民医院骨科(云南腾冲 679100)腾冲市中医医院老年病科(云南腾冲 679199)
老年人工股骨头置换;隐性失血;气血亏虚兼瘀;病机
artificial femoral head replacement in the elderly;hidden blood loss;deficiency of qi and blood and blood stasis;pathogenesis
《广州医药》 2024 (004)
423-426 / 4
10.3969/j.issn.1000-8535.2024.04.016
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