中国防痨杂志2026，Vol.48Issue(4)：429-447,19.DOI:10.19982/j.issn.1000-6621.20250509
浅表淋巴结结核中西医结合诊断与治疗指南
Guidelines for the diagnosis and treatment of superficial lymph node tuberculosis with integrated traditional Chinese and Western medicine
摘要
Abstract
Developing high-quality clinical guidelines is not only essential for improving the overall standard of healthcare services but also crucial for reducing medical costs and patient burden,thereby promoting rational utilization of healthcare resources.The Chinese Medical Association published Clinical Practice Guidelines:Tuberculosis and Clinical Practice Guidelines:Surgery in 2005 and 2006,respectively,which included western medical diagnosis and treatment protocols for lymph node tuberculosis.The Chinese Association of Traditional Chinese Medicine issued Guidelines for diagnosis and treatment of common surgical diseases in traditional Chinese medicine in 2012,containing traditional Chinese medicine(TCM)diagnostic and therapeutic approaches for scrofula.In 2023,the Chinese Anti-tuberculosis Association released Expert consensus on diagnosis and treatment of superficial lymph node tuberculosis,marking the first time that integrated Chinese and Western medicine content was included.However,it provided limited details on TCM syndrome differentiation and standardized external treatment techniques,making it insufficient for guiding daily clinical decision-making in specialized departments and primary-level hospitals.In recent years,emerging research evidence on the diagnosis and treatment of superficial lymph node tuberculosis have accumulated,yet evidence-based guidelines integrating Chinese and Western medicine remain lacking.Therefore,led by Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine,and jointly initiated by the Second Affiliated Hospital of Tianjin University of Chinese Medicine,the Eighth Medical Center of the People's Liberation Army General Hospital,and the Ulcerology Committee of the Chinese Association of Integrative Medicine,a multidisciplinary team was established.Using the GRADE methodology,an evidence-based Guidelines for the diagnosis and treatment of superficial lymph node tuberculosis with integrated Chinese and Western medicine was developed.The guidelines provide principle-based recommendations for clinical practice,covering disease definition,diagnosis and staging,TCM syndrome differentiation,with highlights on the advantages of integrated therapy,and also include the diagnosis and treatment of special populations.It aims to standardize diagnostic criteria,optimize integrated treatment pathways,and improve patient outcomes.关键词
瘰疬/结核,淋巴结/诊断/治疗应用/总结性报告(主题)Key words
Scrofula/Tuberculosis,lymph nodes/Diagnosis/Therapeutic application/Consensus development conferences as topic分类
医药卫生引用本文复制引用
南京中医药大学附属南京市中西医结合医院,天津中医药大学第二附属医院,中国人民解放军总医院第八医学中心结核病医学部,中国中西医结合学会疡科专业委员会,钮晓红..浅表淋巴结结核中西医结合诊断与治疗指南[J].中国防痨杂志,2026,48(4):429-447,19.基金项目
钮晓红全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
国家中医优势专科建设项目(国中医药医政函[2024]90号) （国中医药医政函[2024]90号）
南京市卫生科技发展专项资金项目(YKK20160) （YKK20160）
"十三五"国家科技重大专项(2018ZX10725-509) Niu Xiaohong National Master TCM Expert Inheritance Studio Construction Project(Guo Zhongyiyao Renjiao Han[2022]75) （2018ZX10725-509）
National Project for the Construction of Advantageous Specialties in Traditional Chinese Medicine(Guo Zhong Yao Yi Zheng Han[2024]No.90) （Guo Zhong Yao Yi Zheng Han[2024]No.90）
Nanjing Health Science and Technology Development Special Fund Project(YKK20160) （YKK20160）
Project of the"National Science and Technology Major Project of the 13th Five-Year Plan"(2018ZX10725-509) （2018ZX10725-509）
