中医药临床优势病种探讨——胃食管反流病  

Clinical Predominance Disease of Traditional Chinese Medicine:Gastroesophageal Reflux Disease

作　　者：王萍[1] 王凤云[1] 蓝宇[2] 张灵云[2] 李晓青[3] 王琨 孙秀静[5] 闫占峰[6] 战秀岚 李得民[8] 吴红梅[9] 李晓红[10] 李小科[6] 杨俭勤[11] 邹大威[12] 张霄潇[13] 唐旭东[14] WANG Ping;WANG Fengyun;LAN Yu;ZHANG Lingyun;LI Xiaoqing;WANG Kun;SUN Xiujing;YAN Zhanfeng;ZHANG Xiulan;LI Demin;WU Hongmei;LI Xiaohong;LI Xiaoke;YANG Jianqin;ZOU Dawei;ZHANG Xiaoxiao;TANG Xudong(Xi'yuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing Jishuitan Hospital,Beijing 100035,China;Peking Union Medical College Hospital,Beijing 100730,China;Peking University Third Hospital,Beijing 100191,China;Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China;People's Liberation Army Rocket Force,Beijing 100120,China;China-Japan Friendship Hospital,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100078,China;Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;School of Traditional Chinese Medicine,Capital Medical University,Beijing 100031,China;China Association of Chinese Medicine,Beijing 100029,China;China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京积水潭医院,北京100035 [3]中国医学科学院北京协和医院,北京100730 [4]北京大学附属第三医院,北京100191 [5]首都医科大学附属北京友谊医院,北京100050 [6]北京中医药大学附属东直门医院,北京100700 [7]中国人民解放军火箭军特色医学中心,北京100120 [8]中日友好医院,北京100029 [9]中国中医科学院广安门医院,北京100053 [10]北京中医药大学附属东方医院,北京100078 [11]中国中医科学院望京医院,北京100102 [12]首都医科大学中医药学院,北京100031 [13]中华中医药学会,北京100029 [14]中国中医科学院,北京100700

出　　处：《中国实验方剂学杂志》2023年第12期199-208,共10页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家中医药管理局“创新骨干人才”培养项目;中华中医药学会青年人才托举工程项目(CACM-2018-QNRC2-C05);中国中医科学院科技创新工程(CI2021A009)。

摘　　要：胃食管反流病是临床常见病和多发病,随着病理生理研究的深入及治疗用药的发展,过去的10余年,在诊治方面取得了很多成果。但非糜烂性反流病、难治性胃食管反流病、质子泵抑制剂耐药、疾病症状重叠、食道外症状的治疗方法比较局限、效果欠佳。中医药治疗胃食管反流病有大量的临床实践,表现出良好的疗效优势。由中华中医药学会主办、中华中医药学会脾胃病分会承办的“第十二期临床优势病种系列青年沙龙(胃食管反流病)”邀请18位中西医权威消化专家围绕“胃食管反流病临床诊疗难点和中医优势探讨”进行了研讨,就现代医学诊治成果与贡献、症状改善和维持、疾病症状重叠问题的应对、抑酸剂的减停和撤药、食管外症状治疗等焦点问题进行深入讨论,中西医交流、优势互补,梳理现代医学诊疗的难点,明确中医药干预的定位和优势,为临床和科研提供指导。Gastroesophageal reflux disease(GERD) is a frequently and commonly occurring disease in clinic.In recent decades,with the development in pathophysiology and drug researches,modern medicine has achieved remarkable progress and results in diagnosis and treatment.However,the treatments for non-erosive reflux disease,refractory gastroesophageal reflux disease,proton pump inhibitor resistance,overlap of disease symptoms,and extraesophageal symptoms are limited and ineffective.Traditional Chinese medicine(TCM) was widely used in clinical practice,which has been proved effective in relieving symptoms and improving the quality of life.Sponsored by China Association of Chinese Medicine(CACM) and undertaken by the Spleen and Stomach Disease Branch of CACM,"the 12th Youth Salon of Clinical Predominance Disease Series(GERD)" invited 18 authoritative digestive experts of TCM and western medicine to discuss "the difficulties of clinical diagnosis and treatment of GERD and TCM advantages".The focus issues such as modern medical diagnosis and treatment achievements and contributions,improvement and maintenance of symptoms,response to overlapping disease symptoms,reduction and withdrawal of acid suppressors,and treatment of extra-esophageal symptoms were discussed in depth.TCM and western medicine exchanged and complemented each other's strengths,combing the difficulties of modern medical diagnosis and treatment,which clarified the positioning and advantages of TCM and provided guidance for clinical and scientific research.

关 键 词：胃食管反流病 优势病种 中医药治疗 专家指导建议 

分 类 号：R242[医药卫生—中医临床基础] R2-0[医药卫生—中医学] R2-031R256.56R699