Observation on TCM pattern characteristics and treatment of 20 cases of IgG4-related diseases

Lei XUAN; Jing WANG; Zhen-hua DONG

doi:10.16025/j.1674-1307.2022.06.027

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Observation on TCM pattern characteristics and treatment of 20 cases of IgG4-related diseases

更新时间：2023-02-15

- Observation on TCM pattern characteristics and treatment of 20 cases of IgG4-related diseases
- Beijing Journal of Traditional Chinese Medicine Vol. 41, Issue 6, Pages: 682-684(2022)
- 作者机构：
  
  1.中国医学科学院北京协和医学院北京协和医院中医科，北京100730
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2022.06.027
  CLC：
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宣磊，王景，董振华.20例IgG4相关性疾病中医证候特点与治疗观察［J］.北京中医药，2022，41（6）：682-684.

XUAN Lei,WANG Jing,DONG Zhen-hua.Observation on TCM pattern characteristics and treatment of 20 cases of IgG4-related diseases[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(06):682-684.
宣磊，王景，董振华.20例IgG4相关性疾病中医证候特点与治疗观察［J］.北京中医药，2022，41（6）：682-684. DOI： 10.16025/j.1674-1307.2022.06.027.

XUAN Lei,WANG Jing,DONG Zhen-hua.Observation on TCM pattern characteristics and treatment of 20 cases of IgG4-related diseases[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(06):682-684. DOI： 10.16025/j.1674-1307.2022.06.027.

摘要

目的,2,分析IgG4相关性疾病（IgG4-related disease，IgG4-RD）的临床特点。,方法,2,回顾性分析20例IgG4-RD 患者的临床症状、体征、实验室检查、影像学表现等资料，归纳该病的中医证候特点和治疗方法。,结果,2,20例IgG4-RD患者均出现局部肿大包块，以泪腺、颌下腺、腮腺或浅表淋巴结肿大为主，血清IgG4均高于正常值，CT显示存在肺内结节、泪腺肿大、胰腺肿大等；中医辨证均属痰瘀互结证，兼肝肾阴虚证12例，兼肝郁气滞证8例。2种证型患者年龄、病程、腺体肿大、血清IgG4水平、高免疫球蛋白G比较，差异无统计学意义（,P,>,0.05）。20例IgG4-RD均用中药治疗，疗程3～72个月，其中17例应用糖皮质激素或配合免疫抑制剂，病情稳定。,结论,2,20例IgG4-RD中医辨证属痰瘀互结证，治法以化痰活血、软坚散结为主，兼以滋补肝肾、疏肝理气。

Abstract

关键词

IgG4相关性疾病临床特点中医证候中西医治疗

Keywords

references

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