中医药治疗慢性胃炎伴焦虑抑郁状态临床研究进展

Clinical research progress in the treatment of chronic gastritis with anxiety and depression in traditional Chinese medicine

随着现代社会的快速发展,人们的生活压力越来越大,我国慢性胃炎的发病率越来越高,合并焦虑抑郁状态的慢性胃炎患者也在逐年增加。西医治疗以抑酸护胃、促进胃肠动力、抗焦虑抑郁以及对症支持治疗为主,临床疗效欠佳且有一定的不良反应,中医在慢性胃炎伴焦虑抑郁状态治疗方面具有独特优势,前景广阔。本文查阅了近10年来的相关文献,从慢性胃炎伴焦虑抑郁状态的病因病机、中医辨证分型、中医治疗方面进行概述,以期为临床辨证用药、临床诊疗提供参考。

With the rapid development of modern society and the increasing pressure of people’s lives,the incidence of chronic gastritis in China is getting higher and higher,and the number of patients with chronic gastritis combined with anxiety and depression is also increasing year by year.The western medicine treatment for it mainly involves acid suppression and gastric protection,promotion of gastrointestinal motility,anti-anxiety and depression,and other symptomatic support treatments,which is clinically ineffective and has certain side effects.Traditional Chinese medicine has unique advantages and broad prospects in this respect.This paper reviews the relevant literature in recent 10 years and summarizes the etiology and pathogenesis,TCM syndrome diff erentiation and TCM treatment of chronic gastritis with anxiety and depression,hoping to provide a new idea for its clinical syndrome diff erentiation and medication and its clinical diagnosis and treatment.