中医药治疗慢性萎缩性胃炎的研究进展

Research progress of traditional Chinese medicine in the treatment of chronic atrophic gastritis

慢性萎缩性胃炎(CAG)是一种难治的、常见的消化系统疾病,常被视为胃癌的高危因素,其病因及具体发病机制仍不清楚,因此临床治疗中缺乏特效药物。近年来越来越多的研究表明,中医药能够减轻CAG患者的临床症状,延缓或逆转胃黏膜萎缩、肠上皮化生。现笔者从病因病机、辨证论治、针灸治疗等方面对近年来中医药对CAG治疗的相关研究作一综述。

Chronic atrophic gastritis(CAG) is a refractory and common digestive system disease, which is often regarded as a high-risk factor of gastric cancer. Its etiology and specific pathogenesis are still unclear, so there is a lack of specific drugs in clinical treatment. In recent years, an increasing number of researches have shown that traditional Chinese medicine can alleviate the clinical symptoms of patients with CAG and delay or reverse gastric mucosal atrophy and intestinal metaplasia. The related research on CAG treatment by traditional Chinese medicine in recent years from the aspects of etiology and pathogenesis, syndrome differentiation and acupuncture and moxibustion treatment were reviewed in this paper.