从整合医学的视角探讨慢性胃炎“炎⁃癌转化”的防治

Prevention and treatment of inflammation⁃cancer transformation of chronic gastritis from the perspective of holistic integrative medicine

整合医学强调以人为本,结合社会、环境和心理的现实,将医学各领域的知识理论和实践经验进行有机整合,多学科交叉,使之成为更加有利于人体健康和疾病治疗的新医学体系,是未来医学发展的重要方向。慢性胃炎“炎-癌转化”是横跨消化和肿瘤两个专科的问题,其多病因、多机制、多途径、多阶段的特点为本病的科学防治带来了困难与挑战,从整合医学的视角出发,整合多学科的技术和信息,将有助于解决这一问题,为延缓、阻断慢性胃炎“炎-癌转化”以及降低胃癌发病率提供方向与策略。从整合医学的视角探讨慢性胃炎“炎-癌转化”的防治,具体包括以下几个方面:①医患协同,从多方面进行生活方式管理;②动态防治,“防、筛、诊、治、康”分阶段全过程管理;③从“胃内微环境”的整合视角认识、指导慢性胃炎“炎-癌转化”的防治;④多学科交叉,共筑整合防治新战略,包括中西医结合、基础研究与临床诊疗的相互促进以及引入现代科学技术等。

Holistic integrative medicine(HIM)is people-oriented,which facilitates the organic integration of knowledge,theories and practical experience from various fields of medicine based on social,environmental and psychological realities.HIM is developing into a new medical system that is more conducive to human health and disease treatment,and is an important direction for future medical development.The“inflammation-cancer transformation”of chronic gastritis is a problem involving two specialties:gastroenterology and oncology,whose multi-causes,multi-mechanisms,multi-pathways,and multi-stage characteristics bring difficulties and challenges to the scientific prevention and treatment.HIM can help to solve this problem,providing directions and strategies to delay and stop the“inflammation-cancer transformation”in chronic gastritis and reduce the incidence of gastric cancer by integrating multidisciplinary techniques and information.The prevention and treatment of“inflammation-cancer transformation”in chronic gastritis is explored from the perspective of HIM,including the following aspects:①Collaboration between doctors and patients for lifestyle management from various aspects;②Dynamic prevention and treatment through the whole process management of“prevention-screening-diagnosis-treatment-rehabilitation”;③Guidance on the prevention and treatment of the“inflammation-cancer transformation”in chronic gastritis from the integrated perspective of the“gastric microenvironment”;④The multidisciplinary intersection promotes the new development of integrated prevention and treatment,including mutual promotion of integrated Chinese and western medicine,basic research and clinical diagnosis and treatment,as well as the introduction of modern science and technology.