中医药治疗急性咽炎优势与问题探讨.docVIP

中医药治疗急性咽炎的优势与问题探讨 　　[摘要] ?文对近年来国内外相关文献进行系统检索，利用中国知网（CNKI）收集2006年1月1日―2016年12月31日有关中医药治疗急性咽炎的文献，采用文献计量学方法进行统计分析。初选文献493篇，根据纳入标准和排除标准，筛选出符合标准文献182篇。通过评价和分析文献发现：目前在急性咽炎诊断治疗过程中，《中药新药临床研究指导原则》为常用的诊疗标准；中医治疗本病以中成药为主；汤剂治疗本病常用中药为金银花、黄芩、桔梗、连翘、甘草、玄参、板蓝根、麦冬等；刺络放血法是外治法常用的方法。中西医在治疗本病方面各有其特点，西医学对于急性咽炎的治疗多以抗病毒、抗生素和糖皮质激素类药物为主，缺点为毒副作用、耐药以及易导致二重感染等。中医药在治疗本病方面有着丰富的经验，以其辨证施治、用药安全可靠、疗效确切、不易耐药，且中药剂型多样、携带服用方便、价格低廉、毒副作用小为特点，发掘中医药宝库，研究和制备新型有效的药物是一项艰巨而意义重大的任务。 　　[关键词] 急性咽炎； 中医药治疗； 优势与问题 　　[Abstract] This paper systematically studies relevant literatures at home and abroad in recent years. China National Knowledge Internet （CNKI） was used to collect the literatures for acute pharyngitis treated with traditional Chinese medicine from January 1， 2006， to December 31， 2016， and the bibliometric method was employed for statistical analysis. A total of 493 papers were preliminarily selected. According to the inclusion criteria and exclusion criteria， 182 eligible articles were selected. According to the evaluation and analysis of the literatures， the Guidelines for Clinical Research of New Drugs is currently used as the common standards for the diagnosis and treatment of acute pharyngitis； Chinese patent medicines are the main traditional Chinese medicine for treating this disease； Decoctions for treatment of this disease include Lonicerae Japonicae Flos， Scutellariae Radix， Platycodonis Radix， Forsythiae Fructus， Glycyrrhizae Radix et Rhizoma， Scrophdlariae Radix， Isatidis Radix， and Ophiopogonis Radix； The bloodletting puncture is the common external therapy. Traditional Chinese medicine and Western medicine have their own characteristics in the treatment of this disease. Western medicine for the treatment of acute pharyngitis are mainly antiviral， antibiotic and glucocorticoid drugs， whose disadvantages are toxicity， side effects， drug resistance and double infections. Traditional Chinese medicine doctors have rich experiences in the treatment of the disease， which is characterized by treatm