中医药在慢性胰腺炎治疗中的作用

Traditional Chinese medicine for chronic pancreatitis

目的:通过总结国内10余年来临床上应用中医药治疗慢性胰腺炎的文献,说明中医药治疗慢性胰腺炎的有效性和必要性。资料来源:应用计算机检索维普数据库和中国核心期刊数据库1993-01/2005-12期间的相关文献,检索词“慢性胰腺炎,中医药,治疗”,并限定文章语言种类为中文。资料选择:对资料进行初审,选取侧重临床报道胰腺炎的中医中药治疗中医药辨证论治的文章,并查找全文,核对其详细的治法和方药。资料提炼:共收集到31篇关于慢性胰腺炎的中医中药治疗的文章,3篇关于目前研究概况的文章,对其进行整理分析。资料综合:11篇文章从肝脾论治,11篇从胆胰论治,2篇从中药制剂论述,3篇从中医其他疗法论述(包括推拿等),4篇从总体论述。中医辨证治疗慢性胰腺炎大多不离肝胆(胰)脾,治法以通为主,其中又以从肝脾论治最常见。结论:中医药疗法通过整体调理,可以较好地缓解患者症状,提高生活质量,因此,临床上宜依据患者的具体情况,适时选择中医药治疗。

OBJECTIVEL： To summarize the literatures about the treatment of traditional Chinese medicine （TCM） for chronic pancreatitis （CP） in more than 10 years recently, then confirm the validity and essentiality of TCM in the treatment of CP. DATA SOURCES： An on-computer database retrieve was conducted on Weipu and CNKI for the papers published from January 1993 to December 2005, with the docuterms of ＂chronic pancreatitis, treatment, TCM＂ in Chinese, STUDY SELECTION： After the primary check, the clinical papers that focused on the treatment of pancreatitis by TCM differentiation of symp- toms and signs were selected. Then the full texts were searched for to check the treatment method and prescription. DATA EXTRACTION： Totally 31 pages for the related papers were screened out, and 3 pages for the overview of current study were arranged and analyzed. DATA SYNTHESIS： There were 11 papers on the treatment of liver and spleen, 11 on gall and pancreas, 2 on herb praeparatum, 3 on other TCM therapies （such as manipulation） and 4 on totally common discussion. The TCM differentiation of symptoms and signs for CP mostly rely on liver, gall, （pancreas） and spleen, especially in treatment of liver and spleen through the dredging prescription. CONCLUSION： TCM can better relieve the symptoms of CP patients and improve the quality of life via holistic regulation, thus it is worth applying TCM therapy for CP in clinic.