自身免疫性胃炎是以胃体黏膜腺体萎缩、减少为病理表现的一种慢性进展性疾病,可归于中医“痞病”、“胃痛”范畴。既往被认为是罕见疾病,随着内镜和免疫诊断技术的提高,检出率有所上升,因其临床认识不统一,症状缺乏特异性,常被误诊或漏...自身免疫性胃炎是以胃体黏膜腺体萎缩、减少为病理表现的一种慢性进展性疾病,可归于中医“痞病”、“胃痛”范畴。既往被认为是罕见疾病,随着内镜和免疫诊断技术的提高,检出率有所上升,因其临床认识不统一,症状缺乏特异性,常被误诊或漏诊。中医药是治疗自身免疫性胃炎的重要选择,需要在证候分类、诊疗思路、非药物疗法等方面形成共识。本文从流行病学、临床表现、诊断标准、疾病风险以及治疗现状等方面进行初步总结,提出中医药诊治主要思路和方法,以期为临床诊疗提供参考。Autoimmune gastritis, a chronic disease marked by gastric corpus mucosal gland atrophy and reduction, is recognized as “Pi disease” or “stomach pain” within traditional Chinese medicine. Previously considered a rare disease, its detection rate has risen with improved endoscopic and immunodiagnostic tools. Owing to varied clinical understanding and vague symptoms, it’s often misdiagnosed or missed. Traditional Chinese medicine offers a valuable approach for autoimmune gastritis treatment, necessitating consensus on syndrome classification, diagnosis and treatment strategies, and non-drug therapy. This article offers a concise summary of epidemiology, symptom manifestations, diagnostic criteria, disease risk, and treatment status. It further proposes TCM perspectives for diagnosis and treatment, aiming to guide clinical practice.展开更多
文摘自身免疫性胃炎是以胃体黏膜腺体萎缩、减少为病理表现的一种慢性进展性疾病,可归于中医“痞病”、“胃痛”范畴。既往被认为是罕见疾病,随着内镜和免疫诊断技术的提高,检出率有所上升,因其临床认识不统一,症状缺乏特异性,常被误诊或漏诊。中医药是治疗自身免疫性胃炎的重要选择,需要在证候分类、诊疗思路、非药物疗法等方面形成共识。本文从流行病学、临床表现、诊断标准、疾病风险以及治疗现状等方面进行初步总结,提出中医药诊治主要思路和方法,以期为临床诊疗提供参考。Autoimmune gastritis, a chronic disease marked by gastric corpus mucosal gland atrophy and reduction, is recognized as “Pi disease” or “stomach pain” within traditional Chinese medicine. Previously considered a rare disease, its detection rate has risen with improved endoscopic and immunodiagnostic tools. Owing to varied clinical understanding and vague symptoms, it’s often misdiagnosed or missed. Traditional Chinese medicine offers a valuable approach for autoimmune gastritis treatment, necessitating consensus on syndrome classification, diagnosis and treatment strategies, and non-drug therapy. This article offers a concise summary of epidemiology, symptom manifestations, diagnostic criteria, disease risk, and treatment status. It further proposes TCM perspectives for diagnosis and treatment, aiming to guide clinical practice.
