[1]付妙妙,王思思,徐昭娟.高脂血症性急性胰腺炎中西医发病机制及治疗进展[J].西部中医药,2026,39(07):133-137.[doi:10.12174/j.issn.2096-9600.2026.07.25]
　FU Miaomiao,WANG Sisi,XU Zhaojuan.Progress in Research on the Pathogenesis and Treatment of Hyperlipidaemic Acute Pancreatitis in Traditional Chinese Medicine and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2026,39(07):133-137.[doi:10.12174/j.issn.2096-9600.2026.07.25]
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高脂血症性急性胰腺炎中西医发病机制及治疗进展()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年07期
页码:
133-137
栏目:
研究进展
出版日期:
2026-07-12

文章信息/Info

Title:
Progress in Research on the Pathogenesis and Treatment of Hyperlipidaemic Acute Pancreatitis in Traditional Chinese Medicine and Western Medicine
作者:
付妙妙1, 王思思2, 徐昭娟1
1.河北中医药大学，河北 石家庄 050000
2.河北省中医院，河北 石家庄 050000
Author(s):
FU Miaomiao1, WANG Sisi2, XU Zhaojuan1
1.Hebei University of Chinese Medicine, Shijiazhuang 050000, China
2.Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, China
关键词:
高脂血症; 急性胰腺炎; 中西医结合; 发病机制; 研究进展
Keywords:
hyperlipidaemia; acute pancreatitis; integrated traditional Chinese and Western medicine; pathogenesis; research progress
分类号:
R576
DOI:
10.12174/j.issn.2096-9600.2026.07.25
文献标志码:
A
摘要:
通过分析相关文献，从中西医结合角度探讨高脂血症性急性胰腺炎（hyperlipidaemic acute pancreatitis，HLAP）的发病机制及治疗措施。中医学认为，HLAP的主要病机为过食肥甘、脾失健运、肝失疏泄、痰瘀阻滞，属“腹痛”“脾心痛”等范畴；西医发病机制主要涉及游离脂肪酸损伤、胰腺微循环障碍及胰腺细胞钙超载。在治疗方面，中西医结合疗法以中药汤剂（清解化攻方、温胆汤合大承气汤、柴黄清胰活血方、大承气汤及其类方、通腑活血颗粒、柴清降脂方、大柴胡汤、加味四逆散等）、中药注射液（参麦注射液、复方丹参注射液）、中药灌肠及中药三联法联合西医常规治疗为主要手段，可有效减轻炎症反应、降低血脂水平、减少并发症发生率。
Abstract:
By analyzing relevant literature, this paper explores the pathogenesis and treatment measures of hyperlipidemic acute pancreatitis (HLAP) from the perspective of integrated traditional Chinese and Western medicine. According to TCM, the primary pathogenesis of HLAP is attributed to excessive intake of rich and sweet foods, dysfunction of the spleen in transportation and transformation, liver Qi stagnation in governing dispersion and dredging, and stagnation of phlegm and blood stasis. The condition falls under the categories of "abdominal pain" and "spleen-related epigastric pain", among others. In Western medicine, the pathogenesis mainly involves free fatty acid-induced injury, pancreatic microcirculatory disturbance, and calcium overload in pancreatic acinar cells. In terms of treatment, integrated traditional Chinese and Western medicine therapies primarily employ Chinese herbal decoctions (such as Qingjie Huagong Formula, Wendan Decoction combined with Dachengqi Decoction, Chaihuang Qingyi Huoxue Formula, Dachengqi Decoction and its modified formulas, Tongfu Huoxue Granules, Chaiqing Jiangzhi Formula, Dachaihu Decoction, and Modified Sini Powder), Chinese herbal injections (Shenmai Injection, Compound Danshen Injection), Chinese herbal enema therapy, and triple Chinese herbal therapy in combination with conventional Western medicine. These approaches can effectively alleviate inflammatory responses, reduce blood lipid levels, and decrease the incidence of complications.

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备注/Memo

备注/Memo:
河北省中医药管理局科研计划重点项目（Z2022007）。付妙妙（1997—），女，硕士学位，护师。研究方向：消化系统疾病的中西医结合诊治。
更新日期/Last Update: 2026-07-15