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首都医科大学附属北京中医医院消化中心,北京 100010
朱曦含,男,25岁,硕士研究生。研究方向:中医药治疗脾胃病。
赵鲁卿,E-mail:zhaoluqing@bjzhongyi.com
纸质出版日期:2024-11-25,
收稿日期:2024-03-07,
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ZHU Xihan,DENG Xin,DOU Dan,et al.TCM diagnosis and treatment of ulcerative colitis based on intestinal ultrasound[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(11):1323-1326.
朱曦含,邓鑫,窦丹,等.基于肠道超声的溃疡性结肠炎中医诊疗思路[J].北京中医药,2024,43(11):1323-1326. DOI: 10.16025/j.1674-1307.2024.11.021.
ZHU Xihan,DENG Xin,DOU Dan,et al.TCM diagnosis and treatment of ulcerative colitis based on intestinal ultrasound[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(11):1323-1326. DOI: 10.16025/j.1674-1307.2024.11.021.
溃疡性结肠炎(UC)临床尚无诊断金标准,主要依靠肠镜和组织病理学检查辅助诊断。肠道超声简便易行、无放射性、非侵入、价格低廉,被逐渐应用于炎症性肠病的诊断及活动性评估中。UC属中医学“痢疾”“休息痢”“肠澼”等范畴,湿热蕴肠、气滞络瘀是UC的基本病机。UC的肠道超声表现主要包括肠壁增厚,彩色多普勒血流信号增多,肠蠕动减慢、肠壁弹性减弱及结肠袋消失。针对肠壁增厚的患者,可选择清热燥湿解毒类中药;针对彩色多普勒血流信号增多者,可合理运用凉血止血类中药,炒炭之品效果更优;针对肠蠕动减慢者,可配伍补气、行气的中药;针对肠壁弹性减弱、结肠袋消失者,可尝试化痰祛瘀通络之品。
溃疡性结肠炎肠道超声中医药诊疗思路
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