网络首发时间:2022-05-10 10:33:24 网络首发地址:. XXXins in the central focus, which is unfavorable for the cardinal, causing the qi of the viscera to be blocked. Good curative effect can be achieved by the method of clearing the bowels and purging. Based on the theory of the gut-liver axis, this article sorted out the application of Tongfu Xiexia method in AP, in order to provide a reference for clinical related prevention and treatment. Keywords: acute pancreatitis; gut-liver axis; Tongfu Xiexia method; review 急性胰腺炎(acute pancreatitis,AP)是指多种病 SAP病死率超过30%,且易合并全身炎症反应综合征、 因导致的胰酶被异常激活,以胰腺组织局部炎症为主 腹腔内高压或腹腔间隔室综合征、脓毒症及器官功能 要特征,或伴有其他器官功能改变的消化系统危重疾 衰竭等[3-5]。目前,AP发病机制尚未完全阐明。鉴于肠 病,常见病因主要有胆道疾患、饮酒、高酯血症等。 道菌群失调与AP的发病密切相关[6],而SAP严重程度 临床依据病情严重程度及预后分为轻症 AP(mild 与肝损伤呈明显的正相关[7],由此提出肠-肝轴紊乱是 acute pancreatitis,MAP)、中度重症 AP(moderately AP重要机制之一。中医辨证论治AP具备其特有优势, severe acute pancreatitis,,MSAP)、重症 AP (severe 并取得满意疗效。兹结合肠-肝轴在AP发病中的机制, acute pancreatitis,SAP)。现代医学治疗主要以抑制胰 就通腑泻下法的应用综述如下。 酶分泌、抗感染、解痉止痛、营养支持等对症处理[1