| 严爱娟,黄琴伟,林胜友,高明.中医药防治放射性肺炎的研究进展[J].中国药事,2024,38(6):686-695 |
| 中医药防治放射性肺炎的研究进展 |
| Advances in Traditional Chinese Medicine for the Prevention and Treatment ofRadiation Pneumonitis |
| 投稿时间：2023-08-15 |
| DOI：10.16153/j.1002-7777.2024.06.010 |
| 中文关键词: 放射性肺炎 中医药 防治 临床研究 实验研究 |
| 英文关键词: radiation pneumonitis traditional Chinese medicine prevention and treatment clinical research experimental research |
| 基金项目:浙江省基础公益研究计划（编号 LYY21H280002）；浙江省中医药科技计划（编号 2017ZA076） |
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| 中文摘要: |
| 目的：梳理目前中医药防治放射性肺炎的临床和实验研究，为临床有效防治放射性肺炎提供选方依据和思路。方法：通过检索中医药防治放射性肺炎的相关临床和实验研究文献，对中医药防治放射性肺炎的辩证论治、临床研究和实验研究进行综述。结果：放射性肺炎的中医药防治主要原则为“未病先防”“已病防变”和“瘥后防复”，常以清热解毒、益气养阴、活血化瘀为基本治疗方法，方药包括经典方加减治疗、自拟方辨证论治、中成药制剂治疗及中药与西药联合治疗。结论：中医药及中医药联合西医常规疗法防治放射性肺炎临床效果显著，但其有效物质基础、作用机制等尚不明确，了解不够深入，仍需进行进一步研究。 |
| 英文摘要: |
| Objective: To review presents current clinical and experimental studies on the prevention andtreatment of radiation pneumonitis in traditional Chinese medicine (TCM), so as to provide basis and ideas foreff ective clinical prevention and treatment of radiation pneumonitis. Methods: The treatment based on patterndiff erentiation, clinical research and experimental research of TCM in the prevention and treatment of radiationpneumonia were reviewed by searching the relevant literature on clinical and experimental studies related to theprevention and treatment of radiation pneumonitis in TCM. Results: The main principles of Chinese medicine inthe prevention and treatment of radiation pneumonitis were “prevention before disease”, “prevention of changeafter disease” and “prevention of recurrence after disease”. Clearing heat and removing toxins, benefi ting qi andnourishing yin, and activating blood circulation and removing blood stasis were the basic treatments, and themedicines included classical formula plus and minus treatments, self-designed formula for identification andtreatment, proprietary Chinese medicine preparations, and combined treatments of traditional Chinese medicines and western medicines. Conclusion: The clinical eff ects of TCM and TCM combined with conventional westernmedicines are remarkable on the prevention and treatment of radiation pneumonitis. However, its sufficientmaterial basis and mechanism of action need to be clarifi ed and in-depth, and further research is still required. |
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