Discussion on the TCM syndrome differentiation and treatment of diaphragmatic dysfunction in invasive mechanical ventilation from the perspective of spleen, lung and kidney deficiency

Qing ZHANG; Chengxiang WANG; Qingquan LIU

doi:10.3969/j.issn.2095-6606.2022.03.013

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Discussion on the TCM syndrome differentiation and treatment of diaphragmatic dysfunction in invasive mechanical ventilation from the perspective of spleen, lung and kidney deficiency

更新时间：2022-06-02

- Discussion on the TCM syndrome differentiation and treatment of diaphragmatic dysfunction in invasive mechanical ventilation from the perspective of spleen, lung and kidney deficiency
- Modern Chinese Clinical Medicine Vol. 29, Issue 3, Pages: 56-60(2022)
- 作者机构：
  
  1.北京中医药大学东直门医院通州院区　北京　101100
  2.北京中医药大学第三附属医院
  3.首都医科大学附属北京中医医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.03.013
  CLC： R256.1
- Published：30 May 2022，
  
  Received：27 September 2021，
- 稿件说明：
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Qing ZHANG, Chengxiang WANG, Qingquan LIU. Discussion on the TCM syndrome differentiation and treatment of diaphragmatic dysfunction in invasive mechanical ventilation from the perspective of spleen, lung and kidney deficiency. [J]. Modern Chinese Clinical Medicine 29(3):56-60(2022)
DOI：

Qing ZHANG, Chengxiang WANG, Qingquan LIU. Discussion on the TCM syndrome differentiation and treatment of diaphragmatic dysfunction in invasive mechanical ventilation from the perspective of spleen, lung and kidney deficiency. [J]. Modern Chinese Clinical Medicine 29(3):56-60(2022) DOI： 10.3969/j.issn.2095-6606.2022.03.013.

摘要

膈肌功能障碍是一种呼气和吸气时膈肌厚度变异率小于30%的临床诊断性疾病，是以喘促、脱机困难、膈肌厚度减低为特征的疾病。有创机械通气是膈肌功能障碍最常见原因，导致脱机困难，严重影响疾病预后，因此，探析有创呼吸机通气膈肌功能障碍的中医病机，对中医治疗该病的临床思路起着至关重要的作用。根据该病的临床表现可将其归于中医“喘证”“痿病”范畴，肺脾肾虚是其主要病机，可依据补肺健脾益肾理论进行论治。

Abstract

Diaphragm dysfunction refers to a diaphragm thickening fraction less than 30% during exhalation and inhalation. It is a disease characterized by shortness of breath

difficult weaning

and decreased diaphragm thickness. Invasive mechanical ventilation is the most common cause of diaphragmatic dysfunction

which leads to difficulty in weaning the patient from the ventilator and severely affects the prognosis. Therefore

it is crucial to explore under the guidance of traditional Chinese medicine theories the pathomechanism for diaphragm dysfunction induced by invasive mechanical ventilation for its treatment using TCM approaches. Based on the clinical manifestations

the condition belongs to the categories of "dyspnea disorder" and "flaccidity disorder"

with deficiency in lung

spleen and kidney as the root. Therefore

the treatment should follow the principle of supplementing the lungs and fortifying the spleen and kidney.

关键词

膈肌功能障碍有创机械通气喘证痿证补肺健脾益肾

Keywords

diaphragm dysfunctioninvasive mechanical ventilationdyspnea disorderflaccidity disordersupplementing the lungs fortifying the spleen and kidney

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