李聚林运用降阶梯疗法治疗难治性胃食管反流病经验  

LI Julin's Experience in Treating Refractory Gastroesophageal Reflux Disease with Step-down Therapy

作　　者：张嫄越 刘帅 李聚林[2] ZHANG Yuanyue;LIU Shuai;LI Julin(Shanxi University of Traditional Chinese Medicine,Shanxi Taiyuan 030024,China;Shanxi Provincial Hospital of Traditional Chinese Medicine,Shanxi Taiyuan 030002,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]山西省中医院,山西太原030002

出　　处：《中医药临床杂志》2025年第2期299-303,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：山西省卫生健康委科研课题项目(2019070)。

摘　　要：难治性胃食管反流病以复发率高,缓解率低,用药周期长等特点,是消化领域难治性疾病之一。李聚林主任在标本兼治的理论下,认为难治性胃食管反流病治疗要旨在于缓解症状,稳定病情,减弱对质子泵抑制剂依赖,恢复机体阴平阳秘的状态。同时采用降阶梯疗法,充分发挥各类药物优势特点,探索难治性胃食管反流病治疗新思路。附案例1以佐证。Refractory gastroesophageal reflux disease is one of the refractory diseases in the digestive field,with the characteristics of high recurrence rate,low remission rate and long medication cycle.Based on the theory of treating both the symptoms and the root cause,Director LI Julin believes that the key to the treatment of refractory gastroesophageal reflux disease is to relieve symptoms,stabilize the condition,reduce dependence on proton pump inhibitors,and restore the body’s yin and yang balance.At the same time,step-down therapy is adopted to give full play to the advantages and characteristics of various drugs and explore new ideas for the treatment of refractory gastroesophageal reflux disease.Case 1 is attached for evidence.

关 键 词：难治性胃食管反流病 标本兼治 序贯疗法 

分 类 号：R256.3[医药卫生—中医内科学]