中医药治疗产科领域临床优势病种的探讨

Obstetric Diseases Responding Specifically to Traditional Chinese Medicine

近年,随着生活和社会环境的改变及我国生育政策的调整,高危孕产妇比例显著增加,产科疾病谱不断变化,给产科医生带来了新的挑战和治疗难题。中医药对多种产科疾病具有明确疗效,且治疗方法多样,为产科疑难疾病的解决提供了可供选择的手段,但目前临床参与度和作用发挥不足。为此,中华中医药学会组织邀请了产科临床一线的西医与中医青年优秀专家,围绕妊娠剧吐、先兆流产、异位妊娠、妊娠咳嗽、妊娠期高血压疾病、母儿血型不合、产后缺乳、宫腔妊娠组织物残留、产褥感染、产后身痛、剖宫产术后切口血肿/愈合不良、产后尿潴留、剖宫产术后肠梗阻、盆底功能障碍性疾病、产后抑郁症等15种产科疾病的中医、中西医结合治疗优势环节进行了深入探讨,提出了优势病种的中西医治疗建议,以期在临床实际诊疗中给患者提供优效、个性化的治疗方案,提高产科疾病的诊疗效果,惠及大众。同时,期望更多产科临床医生了解中医的治疗效应及优势、中西借鉴、沟通融合,继而建立具有我国特色的产科诊疗体系。

In recent years,with the change in life style,social environment,and national childbearing policy,the proportion of high-risk pregnant women has increased significantly,triggering the spectrum of obstetric diseases to constantly change,which has brought new challenges to the diagnosis and treatment of obstetrics. Traditional Chinese medicine(TCM)has been proved effective in dealing with a variety of obstetric diseases, and various treatment methods are available, which can serve as alternative means for solving refractory obstetric diseases. However,most obstetric clinicians are currently less aware of the therapeutic effects of TCM, which has significantly hindered its participation in clinical treatment. Therefore, the China Association of Chinese Medicine(CACM)organized the outstanding young obstetricians of TCM and western medicine to discuss 15 obstetric diseases responding specifically to TCM or integrated TCM and western medicine,including hyperemesis gravidarum,threatened abortion,ectopic gestation,cough during pregnancy,pregnancy-induced hypertension syndrome, maternal-fetal ABO incompatibility, postpartum hypogalactia,residual pregnancy tissue in uterine cavity,puerperal infection,pantalgia after childbirth,hematoma/undesirable healing after caesarean section, postpartum urinary retention, ileus after cesarean section, pelvic floor dysfunction,and postnatal depression. The suggestions for their treatment with TCM or integrated TCM and western medicine were also proposed,aiming to provide patients with effective and personalized treatments in clinical practice and improve the diagnosis and treatment effects of obstetric diseases,thus benefiting the public.At the same time,more obstetrical clinicians are expected to understand the therapeutic effects and advantages of TCM and draw on the strengths of both TCM and western,thereby promoting the establishment of an obstetric diagnosis and treatment system with Chinese characteristics.