[1]王明刚 娜 毛德文 李明芬 唐爱存 王秀峰 **.轻微型肝性脑病中医病因病机探析[J].现代中医药,2017,(02):055-57.[doi:10.13424/j.cnki.mtcm.2017.02.022]
 Wang Minggang Wang Na Mao Dewen Li Mingfen Tang Aicun Wang Xiufeng.Analysis on TCM Etiology and Pathogenesis of Mild Hepatic Encephalopathy[J].Modern Traditional Chinese Medicine,2017,(02):055-57.[doi:10.13424/j.cnki.mtcm.2017.02.022]
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轻微型肝性脑病中医病因病机探析()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2017年02期
页码:
055-57
栏目:
理论探讨
出版日期:
2017-03-18

文章信息/Info

Title:
Analysis on TCM Etiology and Pathogenesis of Mild Hepatic Encephalopathy
文章编号:
1672-0571(2017)01-0055-003
作者:
王明刚 娜 毛德文 李明芬 唐爱存 王秀峰 **
广西中医药大学第一附属医院,广西 南宁 530023
Author(s):
Wang Minggang Wang Na Mao Dewen Li Mingfen Tang Aicun Wang Xiufeng
First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China
关键词:
轻微型肝性脑病 中医 痰浊 脑窍
Keywords:
mild hepatic encephalopathyTCMphlegm turbiditybrain orifices
分类号:
R575.3
DOI:
10.13424/j.cnki.mtcm.2017.02.022
文献标志码:
A
摘要:
轻微型肝性脑病在肝硬化患者中有较高发病率,但目前临床上存在套用显性肝性脑病中医病因病 机来诊治本病的误区。研究组在长期临床实践基础上认为本病病因病机应至少包含如下几个方面: 长期肝硬化 基础不可忽视,脾胃功能日渐衰微应作为发病基础,痰浊上蒙心神脑窍是致病关键,肺与大肠肃降失常是其重要 病机,总结起来本病的基本病机可概括为: 脾胃衰微、痰浊盘踞、上蒙心神脑窍。
Abstract:
The incidence of mild hepatic encephalopathy is relatively high among cirrhosis patients,but the diagnosis and treatment of it are misled by distinct etiology and pathogenesis of hepatic encephalopathy at present. According to long -term clinical practice,the researching group gets a conclusion that its etiology and pathogenesis include at least following aspects: assignable basis of long-term cirrhosis,onset basis of declining spleen and stomach function,pathogenic key of phlegm accumulating and occluding orifices as well as important cause of disorder between lung and large intestine; therefore its basic pathogenesis can be generalized as feeble spleen and stomach as well as accumulation of phlegm turbidity blocking orifices.

参考文献/References:

[1]Ferenci P,Lockwood A,Mullen,K,et al. Hepatic en- cephalopathy definition, nomenclature diagnosis,and quantification: final report of the working party at the 11th World Congresses of Gastroenterology,vienna,1998[J]. Hepatology ,2002,35: 716-721 .
[2]贾林,张美华. 肝性脑病的定义、命名、诊断和定量标准 修订方案的新进展[J]. 世界华人消化杂志,2003,12 ( 10) : 2008-2010.
[3]Elliott TR,Hudspith B,Karaiskos C,et al. Prolonged survival of E coli but not Staphylococcus aureus in monocytes from patients with Crohn’s disease [J]. cut, 2011,60 ( Suppl 1) : A61-A62.
[4]Bajaj,JS. Minimal hepatic enceplialopathy matters in daily life[J]. World J Gastroenterol,2008,14 ( 23 ) : 3609 -3615.
[5]曾峥,李喻元,聂玉强. 亚临床肝性脑病的流行病学调 查[J]. 中华肝脏病杂志,2003,11( 11) : 680-682.
[6]Leevy CB,Phillips JA. Hospitalizations during the use of rifaximin Versus lactulose for the treatment of hepatic ena- ephalopathy [J]. Dig Dis Sci,2007,52( 3) : 737-741.
[7]那丼春. 肝性脑病诊断治疗专家共识[J]. 中华实验和 临床感染病杂志,2009,11( 3) : 449-447.
[8]Ampuero J,Simón M,Montoliú C,et al. Minimal hepatic encephalopathy and critical flicker frequency are associated with survival of patients with cirrhosis [J ]. Gastroenterology. 2015,149( 6) : 1483-1489.

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备注/Memo

备注/Memo:
收稿日期:2016-07-18编辑:孙理军* ** 项目基金:广西高等学校高水平创新团队及卓越学者项目;国家中医药管理局“慢性重型肝炎解毒化瘀”重点研究 室,广西中医药大学青年基金(QN14010);广西中医药大学普通课题(P2012047)
通讯作者:王秀峰(1983-),女,医学硕士,研究方向:中医药防治肝衰竭及其并发症的机制研究。E-mail:Wangxiufeng2002@163.com
更新日期/Last Update: 2017-03-15