非酒精性脂肪肝病理分期及病因病机的蒙西医对比研究
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内蒙古医科大学博士启动基金项目(NYBSJJ201603001)


A Comparative Study of Pathological Stages,Etiology and Pathogenesis of Nonalcoholic Fatty Liver in Mongolian and Western Medicine
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    摘要:

    非酒精性脂肪性肝病(Non Alcoholic Fatty Liver Disease,NAFLD)是指无过量饮酒史却出现肝细胞脂肪变性和脂肪蓄积的临床病理综合征。蒙医古籍文献中无“脂肪肝”病名的记载,而仅有脂肪过剩之说,也称为“通拉嘎未消化症”或“精华未消化症”。随着病情的发展,肝脏会出现肝宝如证以及肝渗漏性水臌证。全球流行病学调查表明:我国NAFLD的发病率约为15%。特别是在内蒙古地区,NAFLD的患病率可能在下一个10年内会有显著增加的趋势。如今,在临床上蒙西医结合治疗已是新趋向,结合现代医学科技手段和蒙医传统理论,对慢性NAFLD的治疗有了显著疗效。因此,以NAFLD不同时期的临床症状与病因病机为切入点,用蒙医学和现代医学两方面对NAFLD的各个发展阶段进行了对比研究,为蒙西医结合分期治疗NAFLD方面提供可借鉴的客观依据。

    Abstract:

    Non-alcoholic fatty liver disease(NAFLD)is a clinicopathological syndrome in which hepatocyte steatosis and fat accumulation occur without a history of excessive drinking.There is no record of the name about “fatty liver” in the ancient literature of Mongolian medicine.Only is there “fat excess”,which is also known as “Tonglaga indigestion disease” or “essence indigestion disease”.With the development of illness,the liver will appear “liver Baoru syndrome” and “liver leakage of water”.Global epidemiological survey shows that the incidence of NAFLD in China is about 15%.Especially in Inner Mongolia,the prevalence of NAFLD may increase significantly in the next decade.Nowadays,the combination of Mongolian and Western medicine is a new trend in clinical treatment.By combining the science and technology of modern medical and the theory of traditional Mongolian medicine,the treatment of chronic NAFLD has a significant effect.Therefore,take the clinical symptoms,etiology and pathogenesis of NAFLD in different stages as the point,contrast all developing stages of NAFLD between Mongolian medicine and modern medicine,to provide objective basis for staging treatment of combination of Mongolian and Western Medicine of NAFLD.

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特日格乐,苏龙嘎,兴,安,包·纳日斯.非酒精性脂肪肝病理分期及病因病机的蒙西医对比研究[J].世界中医药,2020,(22).

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  • 收稿日期:2019-05-05
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  • 在线发布日期: 2020-12-01
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