Lisfranc损伤的中西医诊疗研究进展

Lisfranc损伤是临床中较少见的中足损伤,由于机体所受不同程度致伤能量可伴骨折、脱位、软组织损伤,许多低能量损伤在临床上易漏诊、误诊,易进展为慢性损伤,严重影响患者生产生活质量,当前学界对Lisfranc损伤临床分型、手术治疗方式、内固定材料选择等尚未形成统一认识,传统医药在保守治疗和降低术后并发症等方面的优势尚未充分发掘,随着影像学技术、材料科学的进步和多学科交叉融合,许多新技术应用于临床诊疗并取得良好疗效,基于当前中西医诊疗跗跖关节损伤研究现状探讨争议焦点并展望,以期为临床提高Lisfranc损伤诊疗质量提供有益参考。

基于脑肠轴理论探析中医药防治功能性消化不良研究进展

功能性消化不良(functional dyspepsia, FD)是临床常见的功能性胃肠疾病之一,基于中医理论认为脑肠之间以经络相通、神明共统且生理病理紧密联系。中医药能够通过脑肠轴(brain-gut axis, BGA)对脑肠肽(brain-gut peptide, BGP)进行影响,从而促进胃肠道蠕动,加速胃排空,降低内脏高敏性、调节肠道菌群等,有效遏制FD进展。脑肠轴失调造成的脑肠肽水平紊乱是FD的重要特征之一。因此,本文就中医药通过调节脑肠轴治疗FD进行综述,以期为临床治疗提供新策略及思路。Functional dyspepsia (FD) is one of the common clinical functional gastrointestinal diseases. Based on the theory of traditional Chinese medicine, it is believed that the brain and intestine are closely connected with the meridians, the spirit and the physiology and pathology. Traditional Chinese medicine can effectively inhibit the progression of FD by influencing brain-gut peptide (BGP) through brain-gut axis (BGA), thereby promoting gastrointestinal peristalsis, accelerating gastric emptying, reducing visceral hypersensitivity, and regulating intestinal flora. The disturbance of brain-gut peptide level caused by brain-gut axis disorder is one of the important features of FD. Therefore, this article reviews the treatment of FD by regulating the cerebro-intestinal axis of traditional Chinese medicine, in order to provide new strategies and ideas for clinical treatment.

中医外治法治疗慢性创面的研究进展

慢性难愈性创面是临床常见的皮肤病之一,具有发病机制复杂,病程迁延难愈等特点。中医外治治疗慢性难愈性创面有其独特的疗效。总结近年来采用药物疗法(膏剂、散剂、单味中药等)及非药物疗法(针灸、点刺放血等)治疗慢性难愈性创面疗效的相关研究发现,中医外治对缩短愈合时间、提高愈合率、改善VAS疼痛量表评分等均有明显效果。