中西医治疗特发性肺纤维化研究进展OA
Research Progress on the Treatment of Idiopathic Pulmonary Fibrosis by Traditional Chinese and Western Medicine
特发性肺纤维化(idopathic pulmonary fibrosis,IPF)是临床最常见的特发性间质性肺炎,该患者肺功能多呈不可逆性破坏,近些年来世界范围内IPF的流行率和发病率在逐年增加,但现有治疗手段局限,且预后较差.因此,亟需新的、更为安全的、有效的药物治疗.综述文献发现,中西医领域在特发性肺纤维化的治疗研究方面均取得显著进展,西医治疗IPF的研究主要涉及药物治疗及非药物治疗,药物治疗包括:抗纤维化药物、免疫抑制剂等;非药物治疗包括:肺移植;另外,整合素抑制治疗、微生物组治疗、基因治疗也已成为IPF未来治疗的新方向.中医药治疗IPF的研究主要涉及单味中药、中药复合方剂.中西医联合治疗IPF在临床实践中其疗效优于单纯西医治疗或者中医治疗,但当前中西医结合治疗特发性肺纤维化仍有许多不足,面临不少挑战,应突破瓶颈,为患者治疗提供更多方案选择.
Idiopathic pulmonary fibrosis(IPF)is the most common clinical idiopathic interstitial pneumonia.The lung function of this patient is mostly irreversible destruction.In recent years,the prevalence and incidence of IPF worldwide are increasing year by year,but current therapeutic options remain limited with unfavorable prognoses.Consequently,there is an urgent need for novel pharmacological interventions that demonstrate both enhanced efficacy and improved safety profiles.The literature review found that significant progress has been made in the treatment of idiopathic pulmonary fibrosis in the field of traditional Chinese medicine and Western medicine.The research progress of Western medicine in the treatment of IPF mainly involves drug treatment and non drug treatment.Drug treatment includes anti fibrosis drugs,immunosuppressa-nts,etc;Non pharmacological treatments include:lung transplantation;This article also summarizes the new directions of fu-ture treatment:Integrin inhibition therapy,microbiome therapy,gene therapy.The research progress of traditional Chinese medicine in the treatment of IPF mainly involves single traditional Chinese medicine and compound prescription of tradition-al Chinese medicine.In clinical practice,the curative effect of combined traditional Chinese and Western medicine in the treatment of IPF is better than that of simple western medicine or traditional Chinese medicine.However,there are still many deficiencies and challenges in the current treatment of idiopathic pulmonary fibrosis with combined traditional Chinese and Western medicine.We should break through the bottleneck and provide more options for patients.
栾颖慧;魏媛;迟航;何媛
天津医科大学,天津 300070天津市中西医结合医院,天津 300100天津市中西医结合医院,天津 300100天津市中西医结合医院,天津 300100
医药卫生
特发性肺纤维化西医中医中西医结合
idiopathic pulmonary fibrosisWestern medicinetraditional Chinese medicineintegrated traditional Chi-nese and Western medicine
《现代中医药》 2026 (1)
28-34,7
天津市卫生健康委员会中医药重点领域科研项目(2021007)
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