从气虚血瘀论治急性呼吸窘迫综合征OA
Treatment of Acute Respiratory Distress Syndrome from the Perspective of Qi Deficiency and Blood Stasis
基于对急性呼吸窘迫综合征现代医学核心病理改变的分析,结合中医学对急性呼吸窘迫综合征的病机认识和临床诊疗实践,认为气虚血瘀为急性呼吸窘迫综合征中后期的主要病机.提出采用益气活血法为核心治法治疗急性呼吸窘迫综合征,以益气法扶正固本,调控炎症反应、改善组织修复能力下降状态,以活血法化瘀通络,纠正血栓形成及血流动力学紊乱等微循环障碍状态,二者相辅相成,可为急性呼吸窘迫综合征的治疗提供思路.
Based on the analysis of the core pathological changes of acute respiratory distress syndrome(ARDS)in modern medicine,and combining traditional Chinese medicine(TCM)understanding of the pathogenesis and clini-cal practice for ARDS,it is believed that qi deficiency and blood stasis is the main pathogenesis in the middle and late stages of ARDS.It is proposed to employ the therapeutic principle of"boosting qi and invigorating blood"as its primary treatment approach.The method of boosting qi can reinforce healthy qi and consolidate the root,regulate the inflam-matory response and improve the impaired tissue repair ability,while the method of invigorating blood is used to dis-solve stasis,unblock collaterals,and correct thrombus formation and hemodynamic disturbances such as microcircula-tion disorders.These two approaches complement each other,providing an innovative perspective for the treatment of ARDS.
齐小荣;位娜鑫;李敏
中国人民解放军总医院第六医学中心中医医学部,北京市海淀区阜成路6号,100048中国人民解放军总医院第六医学中心中医医学部,北京市海淀区阜成路6号,100048中国人民解放军总医院第六医学中心中医医学部,北京市海淀区阜成路6号,100048
急性呼吸窘迫综合征微循环障碍炎症反应气虚血瘀益气活血
acute respiratory distress syndromemicrocirculatory disorderinflammatory responseqi deficiency and blood stasisboost qi and invigorate blood
《中医杂志》 2026 (8)
908-911,4
国家自然科学基金(82274613)军委后勤保障部中医药服务能力培育与提升专项计划(2021ZY047)
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