| 贺明玉,刘健.刘健辨治类风湿关节炎合并链球菌感染临床经验[J].中国临床保健杂志,2024,27(6):832-836. |
| 刘健辨治类风湿关节炎合并链球菌感染临床经验 |
| Liu Jian′s experience in the diagnosis and treatment of rheumatoid arthritis combined with streptococcus infection |
| 投稿时间：2024-10-19 |
| DOI：10.3969/J.issn.1672-6790.2024.06.024 |
| 中文关键词: 关节炎,类风湿 链球菌感染 名医经验 标本兼治 |
| 英文关键词: Arthritis,rheumatoid Streptococcus infection Famous doctor′s experience Treating both symptoms and radical 〖FL |
| 基金项目:安徽省第12批“115”创新团队项目(皖人才办〔2019〕1号)；安徽省名中医刘健工作室建设项目(中医药发展秘〔2018〕11号)；安徽省重点研究与开发计划项目(201904a07020004) |
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| 中文摘要: |
| 链球菌感染是类风湿关节炎(RA)患者最常合并的感染之一。流行病学研究显示,RA的全球发病率为0.5％～1.0％,而链球菌感染每年影响全球超过50万患者,是儿童、老年人和免疫功能低下患者发病和死亡的主要原因之一。目前针对RA合并链球菌感染的治疗方法存在明显的不良反应,临床应用受限。刘健教授经过30余年的临床实践,积累了大量治疗RA合并链球菌感染的临床经验。刘健教授认为,RA合并链球菌感染的病因病机为内伤脾虚湿盛、外感湿热毒邪,临床治疗宜标本兼顾,以清热解毒利湿为主,同时顾护脾胃,佐以活血祛瘀之法。目前,该方法临床疗效甚佳。该文对刘健教授经验进行总结并加以分析,阐述刘健教授运用标本兼顾、扶正祛邪之法治疗类风湿关节炎合并链球菌感染的临证经验。 |
| 英文摘要: |
| Streptococcal infection is one of the most common co-infections in patients with rheumatoid arthritis(RA).Epidemiological studies have shown that the global incidence rate of RA is 0.5%-1.0%,and streptococcal infection affects more than 500 000 patients worldwide every year,which is the main cause of morbidity and mortality of children,the elderly and patients with low immune function.At present,the treatment methods for RA combined with streptococcal infection have obvious side effects and limited clinical application.Professor Liu Jian has accumulated a wealth of clinical experience in the treatment of RA combined with streptococcal infections using traditional Chinese medicine after more than 30 years of clinical practice.Professor Liu Jian believes that the etiology and pathogenesis of RA combined with streptococcal infection are internal injury,spleen deficiency and excessive dampness,and external damp heat toxin.Clinical treatment should consider both the specimen and the body,with a focus on clearing heat,detoxifying,and promoting dampness.At the same time,it should also take care of the spleen and stomach,accompanied by the method of promoting blood circulation and removing blood stasis,resulting in excellent clinical efficacy.This article summarizes and analyzes professor Liu Jian′s experience in treating rheumatoid arthritis complicated with streptococcal infection by using the method of balancing specimens in order to promote righteousness and eliminate evil. |
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