儿童肠系膜淋巴结炎的中西医诊治进展OA

Mesenteric lymphadenitis in children is a common pediatric abdominal pain disorder,which has the characteristics of repeated attacks and prolonged course of disease,seriously affecting the physical and mental health and quality of life of children.At present,there is no unified consensus on the diagnostic criteria and treatment of the disease.Anti-infection and symptomatic treatment are still the main clinical treatments,but long-term use of antibiotics can easily cause intestinal flora imbalance and drug resistance.In recent years,the role of probiotics in regulating intestinal microecology,reducing inflammation,shrinking lymph nodes,and assisting the treatment of children with mesenteric lymphadenitis has received increasing attention.The core treatment in traditional Chinese medicine(TCM)is regulating qi and relieving pain,reducing swelling and resolving nodules,and invigorating spleen and stomach,and various interventions are performed,such as oral administration of Chinese medicines,acupoint application,moxibustion and massage,which has achieved great effect.Integrated traditional Chinese and western medicine can synergistically enhance the effect,reduce the recurrence rate and improve the compliance,showing a good application prospect.This article systematically reviews the research progress in etiology,pathogenesis,key diagnostic points,western medicine treatment,traditional Chinese medicine treatment,integrated traditional Chinese and western medicine and probiotics application in children with mesenteric lymphadenitis,and sorts the limitations and controversies of current diagnosis and treatment,so as to provide references for standardized clinical diagnosis and treatment and subsequent researches.