中西医治疗慢性萎缩性胃炎进展

Progress in the Treatment of Chronic Atrophic Gastritis with Integrated Chinese and Western Medicine

慢性萎缩性胃炎(chronic atrophic gastritis,CAG)指胃黏膜腺体体积减小,量少,伴有或不伴有肠腺化生及(或)假幽门腺化生的慢性疾病,被认为是消化系统癌前疾病的一种。慢性萎缩性胃炎病程漫长,缠绵难愈,给患者生活带来极大不利影响。一般采用根除幽门螺杆菌、促进胃动力等对症治疗方法,对慢性萎缩性胃炎进行西医治疗。中医药通过不同的药物组合,随证加减,在改善症状方面有优势。慢性萎缩性胃炎的中西医结合治疗,在改善症状的同时,对胃黏膜的萎缩和肠上皮化生起到阻断和逆转作用。文章从慢性萎缩性胃炎的病因、病机、辨证论治、中药西药并用、中成药治疗、针药并用、经验方治疗、内窥镜治疗等方面,对近年来我国慢性萎缩性胃炎的中医西医治疗进展进行了概述。

Chronic atrophic gastritis is a chronic disease characterized by reduced volume and small amount of gastric mucosal glands with or without intestinal adenogenesis and/or pseudopyloric adenogenesis,which is considered to be a precancerous disease of the digestive system.The course of the disease is long,lingering and difficult to cure,bringing great adverse effects on the life of patients.General use of eradication of Helicobacter pylori,promoting gastric motivity and other symptomatic treatment methods for chronic atrophic gastritis western medicine.However,traditional Chinese medicine has advantages in improving symptoms through different combinations of drugs,increasing and decreasing with the symptoms.The integrative treatment of chronic atrophic gastritis with traditional Chinese and western medicine can not only improve the symptoms of patients,but also block and reverse the atrophy of gastric mucosa and intestinal metaplasia.This article summarizes the progress of traditional Chinese medicine and western medicine treatment of chronic atrophic gastritis in our country in recent years from the etiology,disease mechanism,syndrome differentiation and treatment,the combination of western medicine with traditional Chinese medicine,Chinese prescription medicine treatment,the empirical method treatment,endoscope treatment and so on.