Guidelines for Diagnosis and Treatment of Sjogren's Syndrome with Integrated Traditional Chinese and Western Medicine

Title: Guidelines for Diagnosis and Treatment of Sjogren's Syndrome with Integrated Traditional Chinese and Western Medicine
Edition: Original
Classification: Traditional Chinese Medicine guideline
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: 供临床一线中医师、西医师、中西医结合领域风湿科医师以及与干燥综合征诊疗相关的专业人员使用。
Evidence classification method: Using GRADE's grading of evidence approach
Development unit: Professional Committee of Rheumatic Diseases, Chinese Association of Integrative Medicine
Registration time: 2022-05-22
Registration number: IPGRP-2022CN285
Purpose of the guideline: 原发性干燥综合征(primary Sjogren’s syndrome,pSS)是一种以淋巴细胞增值以及外分泌腺受损为主要特征的自身免疫性疾病。本病除出现唾液腺、泪腺功能受损外,还可出现多脏器受累,如肺间质病变、肾小管间质性病变、周围神经病变、血液系统病变等。pSS在我国患病率为0.33%-0.77%,但pSS的规范化诊疗落后于系统性红斑狼疮、类风湿关节炎等常见风湿性疾病。现代医学多使用羟氯喹、免疫抑制剂、糖皮质激素治疗pSS,但对于pSS尚无满意的治疗方案,无论对于干燥症状或者内脏器官损害的治疗均缺乏循证医学的论证,临床用药多为经验性治疗,或借鉴其他风湿性疾病的用药。干燥综合征属于祖国医学“燥病”范畴,中医辨证论治对于缓解患者干燥症状及全身症状的优势明显,但目前中医对于本病的诊断和辨证分型尚不统一,且目前尚无中西医结合治疗本病的规范标准,不利于中西医结合诊疗方式的推广,为了更好的发挥中西医结合的优势,故需建立pSS的中西医结合诊疗指南,以指导临床。