Clinical pathway for integrated traditional Chinese and Western medicine in the diagnosis and treatment of acute pancreatitis
10.3969/j.issn.1008-9691.2025.03.001
- VernacularTitle:急性胰腺炎中西医结合诊疗临床路径
- Author:
Yuan ZHANG
1
;
Hao WANG
;
Haiyan YIN
;
Shengwei JIN
;
Bangjiang FANG
;
Guiwei LI
;
Xijing ZHANG
;
Hongmei GAO
;
Donghao WANG
;
Changsong WANG
;
Keliang XIE
;
Lai JIANG
;
Yan QU
;
Zhaocai ZHANG
;
Jianying KAN
;
Daihua YU
;
Junling LIU
;
Jun LI
;
Weiwei AN
;
Yong CHEN
;
Jianbo YU
Author Information
1. 天津医科大学附属南开医院麻醉科与重症医学科,天津 300100
- Publication Type:Journal Article
- Keywords:
Acute pancreatitis;
Integrated traditional Chinese and Western medicine;
Clinical pathway;
Standard for diagnosis and treatment
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(3):257-261
- CountryChina
- Language:Chinese
-
Abstract:
Acute pancreatitis(AP)is a frequently encountered acute abdominal syndrome in clinical settings,and the integrated model of traditional Chinese and Western medicine(TCM-WM)has demonstrated notable advantages in the diagnosis and treatment of AP.To systematize and standardize clinical practices related to develop clinical pathway for integrated TCM-WM diagnosis and treatment of AP,which enhances the efficiency and quality of patient care.This pathway focuses on AP,a common acute and life-threatening disease within the digestive system,and outlines that the central pathological mechanism involves pancreatic injury and localized inflammation resulting from the abnormal activation of pancreatic enzymes.It has the characteristics of rapid onset,multiple causes,and complex manifestations.Severe cases can be life-threatening.At present,conventional treatments encompass a diverse range of modalities.Moreover,traditional Chinese medicine(TCM)holds distinct advantages in alleviating relevant symptoms,and TCM-WM is gaining increasing prevalence.To enhance the standardization and consistency of diagnostic and therapeutic practices,this clinical pathway clearly delineates the target patient population,which includes individuals diagnosed with abdominal pain disorder according to TCM and with AP in accordance with WM criteria,as well as the corresponding inclusion standards.The diagnostic framework integrates both TCM and WM guidelines,and further incorporates disease staging,severity grading,and syndrome differentiation to support a comprehensive and integrated diagnostic strategy.The treatment integrates approaches from both TCM and WM.Within the WM framework,interventions consist of basic supportive care,infection control,nutritional support,and the management of complications.In the context of TCM,the protocol includes syndrome differentiation and corresponding therapeutic strategies(Distinct syndrome patterns are identified and managed during the acute and convalescent phases),such as acupuncture and retention enema.This clinical pathway addresses multiple key components,including preventive strategies,post-treatment follow-up,criteria for evaluating therapeutic efficacy,admission and discharge,admission examination protocols,discharge criteria,and the rationale for deviations or withdrawal from the pathway.It is designed to provide a systematic and standardized reference framework for relevant clinical practices.
