从急性感染性疾病的临床诊治谈中西医结合

急性感染性疾病是严重威胁人类健康的常见病、多发病。近年来医疗界面临空前严峻的细菌耐药形势,而新药研发的速度远远赶不上耐药菌的发展速度。在严重感染诊治过程中注重脏器保护、改善微循环,是提高救治率的关键。我们在中西医结合理论指导下,采用西医辨病、中医辨证,中西医优势互补、病证结合的原则诊治急性感染性疾病,取得明显的临床疗效。通过多中心前瞻性临床研究,总结出实热证(热夹湿型、热盛伤阴型)、血瘀证、腑气不通证和厥脱证。通过实验研究,证实了中药在急性感染性疾病的细菌耐药、脏器保护、微循环等方面的作用。中西医结合是治疗急性感染性疾病的最佳策略,突破中西医之间的壁垒是关键,病证结合、方证对应是中西医结合治疗的切入点。

Integration of traditional Chinese and western medicine in the diagnosis and treatment of acute infectious diseases

Acute infectious disease is a threat to human health. In recent years the medicine faces serious problems of drug-resistant bacteria, and the speed of new drug research and development is far behind antibiotic resistant bacteria development. Organ protection and improvement of microcirculation are pivotal to the cure of severe infection. Under the guidance of the theory of the combination of Chinese traditional and western medicine, the principle of the complementary strengths of Chinese and western medicine should be followed and combination of disease and syndrome diagnosis and treatment of acute infectious diseases, we achieved significant clinical curative effect. Through multicenter prospective clinical study, we summarize the syndrome of excessive heat (thermal clip wet type, Re Sheng Shang Yin type), blood stasis syndromes, purging gas barrier permits and syncope syndrome.Through the experimental study, it was confirmed by traditional Chinese medicine in acute infectious disease, bacterial resistance in organ protection, such as the role of microcirculation. Research showed that the combination of Chinese traditional and western medicine in treatment of acute infectious disease is the optimal strategy. Carry out of combining traditional Chinese and western medicine, the breakthrough of the barriers between Chinese and western medicine is the key.