中医药治疗慢性胃炎的研究进展

Research Progress of Traditional Chinese Medicine in the Treatment of Chronic Gastritis

慢性胃炎是临床常见的消化系统疾病,幽门螺旋杆菌(Hp)感染是其主要的直接病因。目前现代医学对于慢性胃炎的治疗方式由于根除Hp疗效不理想、抗生素耐药性、针对性弱等原因,其疗效有待提高。近年来,中医药治疗慢性胃炎患者在减轻症状、控制Hp感染及胃黏膜萎缩、降低疾病复发率等方面都取得了确切疗效。笔者综述近年来中医药治疗慢性胃炎的相关研究发现,中医药治疗慢性胃炎的手段众多,其治疗机制为保护胃黏膜、促进胃黏膜修复、改善血清胃泌素和胃蛋白酶原水平、下调炎症因子水平、调节脑肠轴、改善免疫功能等。

Chronic gastritis is a common clinical digestive system disease, and Helicobacter pylori (Hp) infection is the main direct cause. Currently, the efficacy of modern medicine in treating chronic gastritis needs to be improved due to reasons such as unsatisfactory eradication of Hp, antibiotic resistance, and weak targeting. In recent years, traditional Chinese medicine has achieved definite efficacy in alleviating symptoms, controlling Hp infection and gastric mucosal atrophy, and reducing disease recurrence rates in patients with chronic gastritis. This review summarizes recent research findings on the treatment of chronic gastritis with traditional Chinese medicine and finds that there are many treatment methods for chronic gastritis with traditional Chinese medicine, and its treatment mechanism includes protecting the gastric mucosa, promoting gastric mucosal repair, improving serum gastrin and pepsinogen levels, down-regulating inflammatory factor levels, regulating the brain-gut axis, and improving immune function.