幽门螺杆菌根除后的慢性萎缩性胃炎中西医治疗现状  

Current status of traditional Chinese medicine and Western medicine treatment of chronic atrophic gastritis after Helicobacter pylori eradication

作　　者：刘聿迪 牟晋超 Yu-Di Liu;Jin-Chao Mou(The First Department of Internal Medicine,Yiwu Hospital of Traditional Chinese Medicine,Yiwu 322000,Zhejiang Province,China)

机构地区：[1]义乌市中医医院内一科,浙江省义乌市322000

出　　处：《世界华人消化杂志》2024年第11期821-826,共6页World Chinese Journal of Digestology

基　　金：金华市中医药科学技术研究计划项目,No.2022KY52.

摘　　要：慢性萎缩性胃炎(chronic atrophic gastritis,CAG)被视为胃癌前病变的中间环节,可通过肠化生、异型增生最终演变为胃癌.幽门螺杆菌(Helicobacter pylori,H.pylori)感染是CAG的主要致病因素,根除H.pylori是治疗CAG的一个重要手段.然而目前对根除H.pylori后的CAG的治疗方法尚未达成一致意见.本文总结了现代医学及传统医学对H.pylori根除后CAG治疗方法,并进行了综述.西医在处理存在不适症状的CAG患者时采用支持性药物治疗,并进行随访、监测和评估萎缩、肠化情况,以便及时进行内镜下癌前病变及早期癌的治疗.中医对于CAG的认知多样,核心观点集中在“毒、虚、瘀”,并且强调在“毒去”状态后应以补虚和祛除淤滞为主.Chronic atrophic gastritis(CAG)is considered to be an intermediate step in the development of gastric cancer,which can progress to intestinal metaplasia,dysplasia,and eventually gastric cancer.Helicobacter pylori(H.pylori)infection is the main pathogenic factor in CAG,and eradication of H.pylori is an important means of treatment.However,there is no consensus on the treatment of CAG after H.pylori eradication.This article summarizes modern and traditional medical treatments for CAG after H.pylori eradication.In Western medicine,CAG patients with symptoms of discomfort are treated with supportive drugs and then undergo follow-up,monitoring,and evaluation of atrophy and metaplasia to facilitate timely endoscopic treatment of precancerous lesions and early-stage cancer.Traditional Chinese medicine has diverse views on CAG,with the core focus on“toxin,deficiency,and stasis”,and emphasizes that after the“toxin is gone”,the main focus should be on replenishing deficiencies and removing stasis.

关 键 词：慢性萎缩性胃炎 幽门螺杆菌 中西医治疗 诊治概况 综述 

分 类 号：R573.3[医药卫生—消化系统]