从病机演变分阶段论治慢性萎缩性胃炎的思路与方法  

The Idea and Method of Treating Chronic Atrophic Gastritis from the Stage of Pathogenesis Evolution

作　　者：孙学义 吕冠华[2] SUN Xueyi;LYU Guanhua(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2023年第8期69-72,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省“十二五”中医重点专科项目(辽卫函字[2012]380号)。

摘　　要：慢性萎缩性胃炎是临床中常见的一种消化系统疾病,是癌前状态中最常见的阶段。脾虚夹滞是慢性萎缩性胃炎核心病机,随着病程的进展,其发病机制会在核心病机基础上根据脾胃生理病理特征发生演变,衍生出新的病机因素,多种病机因素相互交结,导致该病迁延不愈,日久或会导致胃黏膜癌变。故从慢性萎缩性胃炎的核心病机出发,围绕病机演变规律,并结合内镜下不同病理表现,论述慢性萎缩性胃炎病机的演变过程与病邪兼夹,以期为临床治疗该病提供一定的参考。Chronic atrophic gastritis is a common digestive system disease in clinic,and it is the most common stage in precancerous state.Spleen deficiency and stagnation is the core pathogenesis of chronic atrophic gastritis.As the disease progresses,its pathogenesis will evolve on the basis of the core pathogenesis according to the physiological and pathological characteristics of the spleen and stomach,and new pathogenic factors will be derived.Various pathogenic factors interact with each other.Cementation will cause the disease to persist,and it may lead to gastric mucosal cancer over time.Therefore,this article starts from the core pathogenesis of chronic atrophic gastritis,focuses on the evolutionary law of the pathogenesis,and combines different pathological manifestations under endoscopy to discuss the evolution process of the pathogenesis of chronic atrophic gastritis and the combination of pathogenic factors,with a view to clinical treatment of this disease.Provide some reference.

关 键 词：慢性萎缩性胃炎 核心病机 病机演变 分阶段治疗 

分 类 号：R259[医药卫生—中西医结合]