基于"肾生髓,髓生血"理论探析PARP抑制剂维持治疗卵巢癌所致贫血的机制与治疗OA
Based on the Theory of"Kidney Generates Marrow,Marrow Generates Blood,"this Study Explores the Mechanism and Treatment of PARP Inhibitor Maintenance Therapy for Anemia Caused by Ovarian Cancer
多腺苷二磷酸核糖聚合酶(PARP)抑制剂(PARPi)的问世从根本上改变了卵巢癌的治疗现状,为卵巢癌的维持治疗带来了新的方向.但随之而来引起的血液性毒性严重影响患者的依从性,其中贫血最为常见.近年来随之中医药治疗卵巢癌的不断研究,发现"肾生髓,髓生血"理论与PARP抑制剂在卵巢癌维持治疗所致贫血的治疗具有高度契合性.文章阐述了中医学"肾生髓,髓生血"理论以及现代医学对其科学阐述,从"肾生髓,髓生血"理论分析PARP抑制剂在卵巢癌维持治疗所致贫血的发病机制,分析"益肾健脾,填精补血"法治疗PARP抑制剂在卵巢癌维持治疗所致贫血的临床疗效,探索一种发挥中医药的特色和优势的科学治疗方案,进一步为中医药治疗PARP抑制剂在卵巢癌维持治疗所致贫血的研究提供理论依据.
The advent of PARP polymerase(PARP)inhibitors(PARPi)has fundamentally changed the treatment landscape for ovarian cancer,offering a new direction for maintenance therapy.However,the accompanying hemato-logic toxicity severely impacts patient adherence,with anemia being the most common symptom.Recent research into traditional Chinese medicine(TCM)treatment of ovarian cancer has revealed a high degree of compatibility between the TCM theory of"kidney generates marrow,marrow generates blood"and the treatment of anemia induced by PARP inhibitors in ovarian cancer maintenance therapy.This article elucidates the TCM theory of"kidney generates mar-row,marrow generates blood"and its scientific explanation in modern medicine.It analyzes the pathogenesis of anemia induced by PARP inhibitors in ovarian cancer maintenance therapy based on this theory,analyzes the clinical efficacy of the"tonifying the kidney and spleen,replenishing essence and blood"method in treating anemia induced by PARP inhibitors in ovarian cancer maintenance therapy,explores a scientific treatment plan that leverages the characteristics and advantages of TCM,and further provides a theoretical basis for TCM research on anemia induced by PARP inhibi-tors in ovarian cancer maintenance therapy.
林振阳;李冬梅;文梦珠
安徽中医药大学 安徽 合肥 230000安徽中医药大学附属太和中医院 安徽 阜阳 236600安徽中医药大学 安徽 合肥 230000
医药卫生
肾生髓髓生血PARP抑制剂卵巢癌贫血益肾健脾填精补血
Kidney generates marrowMarrow generates bloodPARP inhibitorOvarian cancerAnemiaTonifying the kidney and spleenReplenishing essence and blood
《中医药临床杂志》 2026 (3)
441-445,5
阜阳市卫生健康委科研项目(FY2021-100)
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