[1]马佳乐 ,李慧臻.中医治疗慢性萎缩性胃炎研究进展*[J].陕西中医,2019,(11):1646-1648.
　MA Jiale,LI Huizhen..Traditional Chinese medicine in the treatment of chronic atrophic gastritis[J].,2019,(11):1646-1648.
点击复制

中医治疗慢性萎缩性胃炎研究进展*
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1646-1648
栏目:
综述
出版日期:
2019-11-05

文章信息/Info

Title:
Traditional Chinese medicine in the treatment of chronic atrophic gastritis
文章编号:
DOI:10.3969/j.issn.10007369.2019.11.043
作者:
马佳乐1 ; 李慧臻2
1.天津中医药大学 (天津 300193)；2.天津中医药大学第二附属医院(天津 300150)
Author(s):
MA Jiale; LI Huizhen.
Tianjin University of Traditional Chinese Medicine(Tianjin 300193）
关键词:
慢性萎缩性胃炎; 病因病机; 辨证分型; 中医药治疗; 研究进展; 综述
Keywords:
Key words Chronic atrophic gastritis; Etiology and pathogenesis; Syndrome differentiation; Traditional Chinese medicine therapy; Research progress; Review
分类号:
R573.3
文献标志码:
A
摘要:
摘要慢性萎缩性胃炎(CAG)是临床常见的一种消化系统疾病，发病率高，病程长，病情易反复发作。中医药在CAG的治疗上积累了丰富的经验，取得了显著疗效。中医临床可以运用辨证论治的理论，选用经验方、中成药、中医外治法等措施有效地治疗CAG，但同时也存在着一些不足:中医病因病机和辩证论治的杂乱多样;临床研究尚无同意诊断标准;临床研究对疾病远期疗效观察不足。结合近年来中医药对慢性萎缩性胃炎的研究，本文从辨证论治、中药方、中成药和中医外治的治疗等方面进行综述。
Abstract:
AbstractChronic atrophic gastritis is a common digestive system disease in clinic,with high incidence rate,long course and conditions repeatedly attacks.Traditional Chinese medicine has accumulated rich experience in the treatment ofchronic atrophic gastritis and achieved remarkable curative effect.Clinican of TCM can use the theory of syndrome differentiation and treatment，using experience prescriptions，Chinese patent medicine，external treatment of Chinese medicine and other measures to effectively treat CAG.But there are some shortcomings in TCM treatment：1.the disorder and diversity of TCM etiology and syndrome differentiation,2.There is no uniform diagnostic standard in clinical research，3.Clinical research is insufficient to observe the longterm effect of diseases.In combination with recent years traditional Chinese medicine researches on chronic atrophic gastritis，this article summarizes the theory of syndrome differentiation and the treatment of Chinese medicine prescriptions,Chinese patent medicine,external treatment of Chinese medicine.

参考文献/References:

[1]中国中西医结合学会消化系统疾病专业委员会.慢性萎缩性胃炎中西医结合诊疗共识意见（2017年）[J].中国中西医结合消化杂志,2018,26(2):121131.
[2]杜亮,吴学勇,吴伟.慢性萎缩性胃炎与胃镜、胃黏膜病理及幽门螺旋杆菌感染的相关性研究[J].陕西医学杂志,2017,46(12):16761677.
[3]赵欢，杨巧芳.名中医治疗慢性萎缩性胃炎病因病机思路与用药规律[J].时珍国医国药,2018,29(6):15181520.
[4]刘赓,丁洋,张声生.张声生从“虚”、“毒”、“瘀”论治慢性萎缩性胃炎[J].中国中医基础医学杂志,2012,18(10):10981099.
[5]廉艳红,周斌.从脾肾亏虚、胃络瘀阻论治慢性萎缩性胃炎[J].中华中医药杂志,2017,32(9):40644066.
[6]张璇,徐晶钰,秦志丰,等.从痰论治胃癌前病变临证思路[J].中国中医药信息杂志,2014,21(3):99100.
[7]苏晓兰,于冰娥,杨晨,等.魏玮论治慢性萎缩性胃炎用药经验[J].辽宁中医杂志,2017,44(1):4143.
[8]黄亚娟,蒋士生,王红梅,等.蒋士生教授从伏毒论治慢性萎缩性胃炎经验[J].中医药导报,2017,23(3):3338.
[9]张芬,王敬民,刘持年,等.应用脾阴学说治疗慢性萎缩性胃炎的浅析[J].成都中医药大学学报,2018,41(2):9192.
[10]周汝杨,张小琴.单兆伟教授辨治慢性萎缩性胃炎四法[J].浙江中医药大学学报,2017,41(11):863865.
[11]刘赓,唐旭东.唐旭东辨证治疗慢性萎缩性胃炎经验体会[J].辽宁中医药杂志,2009,36(5):734736.
[12]才艳茹,杨倩,陈宏宇,等.李佃贵化浊解毒调肝法治疗慢性萎缩性胃炎经验[J].山东中医药大学学报,2016,40(6):538541.
[13]徐文江,李彦生.曾升海治疗慢性萎缩性胃炎经验[J].河南中医,2017,37(7):11821184.
[14]马豆,董筠.董筠教授辨治慢性萎缩性胃炎[J].长春中医药大学学报,2016,33(2):237239.
[15]刘先勇.三型辨证结合胃镜下辨证论治慢性萎缩性胃炎[J].中华中医药杂志,2017,32(7):30393041.
[16]刘晨萍,李毅平.安胃汤加味治疗脾虚血瘀型慢性萎缩性胃炎的疗效及对患者血液流变学的影响[J].上海中医药大学学报,2019,33(1):2831.
[17]张玉峰,刘新爱,叶坤英.参枳消萎汤对慢性萎缩性胃炎癌前病(肝胃气滞证)变转归的影响[J].中国实验方剂学杂志,2016,22(4):175177.
[18]余吉.清热化湿方治疗脾胃湿热型慢性萎缩性胃炎伴糜烂的临床进展[D].太原:山西中医药大学,2017.
[19]周亮,邓丽娅,郭凌飞,等.健胃消痞汤对胃癌前病变患者转归的影响与机制作用[J].中国实验方剂学杂志,2018,24(10):207211.
[20]武冬玲,朱方石,徐婷婷,等.益胃化裁方治疗胃阴不足型慢性萎缩性胃炎随机对照双盲研究[J].中医杂志,2016,57(5):401404.
[21]尚素芬,李争鸣,乔振海,等.柴胡疏肝散联合化瘀消萎汤治疗慢性萎缩性胃炎效果及对患者胃黏膜分泌水平影响[J].陕西中医,2018,39(9):12381240.
[22]丁一鸣.气滞胃痛颗粒联合叶酸在慢性萎缩性胃炎治疗中的应用[J].中山东医药,2016,56(34):4041.
[23]陶英杰.养胃舒胶囊联合复方黄连素片治疗脾胃湿热型慢性萎缩性胃炎临床评价[J].中国药业,2018,27(1):5861.
[24]李多,刘德清,齐维娟,等.枳术宽中胶囊联合西药治疗幽门螺杆菌阳性慢性萎缩性胃炎的临床观察[J].中国临床医生杂志,2018,46(9):11171120.
[25]潘俊娣,叶斌,周桃梅,等.胃苏颗粒对慢性萎缩性胃炎患者胃黏膜TFF2、NFκB表达的影响[J].浙江中西医结合杂志,2019,29(2):115117.
[26]张迪,袁星星,王炳予,等.合募配穴灸法治疗慢性萎缩性胃炎临床观察[J].上海针灸杂志,2017,36(12):14011405.
[27]李崖雪,李晓陵,张帆,等.原络通经针法配合药物治疗慢性萎缩性胃炎(脾胃亏虚型)的疗效[J].中国老年学杂志,2016,36(15):37513752.
[28]张丰毅.穴位埋线治疗脾胃虚弱型慢性萎缩性胃炎的临床疗效观察[D].福州:福建中医药大学,2018.
[29]张丽华,陈秀荣,苏春芝.穴位注射配合穴位按摩治疗慢性萎缩性胃炎30 例临床观察[J].湖南中医杂志,2016,32(9):9092.
[30]范丽丽,谢伟昌,谢苑芳,等.萎胃颗粒配合耳穴压豆对慢性萎缩性胃炎患者胃黏膜NFκB 通路的影响[J].中医学报,2018,33(237):329331.

相似文献/References:

[1]龚枫评,韩旭,龚俞睿,等.慢性乙肝病因病机治法探要[J].陕西中医,2016,(10):1392.
[2]张欢,齐瑞,杜永平,等.中医药治疗儿童抽动障碍的研究进展[J].陕西中医,2017,(06):815.
[3]孙明明,李 聪,史 林.王庆国教授对慢性萎缩性胃炎的治疗经验探析[J].陕西中医,2019,(2):260.
　SUN Mingming,LI Cong,SHI Lin..Analysis on the treatment experience of chronic atrophic gastritis by professor WANG Qingguo[J].,2019,(11):260.
[4]钱元霞,汤玲珺,钱 祯,等.四逆散对慢性萎缩性胃炎癌前病变大鼠的作用及机制研究*[J].陕西中医,2019,(8):990.
　QIAN Yuanxia,TANG Lingjun,QIAN Zhen,et al.The effect of Sinisan on the rats of precancerous lesion of chronic atrophic gastritis and its mechanism[J].,2019,(11):990.
[5]闫 强,杨国强 △.健脾清胃汤治疗脾胃虚弱型慢性萎缩性胃炎疗效及对患者免疫功能的影响[J].陕西中医,2019,(8):1014.
　YAN Qiang,YANG Guoqiang..Effect of Jianpi Qingwei decoction on chronic atrophic gastritis of spleen and stomach deficiency and its influence on patients' immune function[J].,2019,(11):1014.
[6]杨宏升.安胃活血汤联合序贯法治疗慢性萎缩性胃炎胃癌前病变疗效研究[J].陕西中医,2019,(9):1195.
　YANG Hongsheng..Effect of Anwei Huoxue decoction combined with sequential therapy on gastric precancerous lesions of chronic atrophic gastritis[J].,2019,(11):1195.
[7]靳锐锋,崔红生△,陈秋仪.从体质角度探讨阻塞性睡眠呼吸暂停低通气综合征的病因病机及中医药治疗思路*[J].陕西中医,2019,(10):1440.
　JIN Ruifeng,CUI Hongsheng,CHEN Qiuyi..To explore the etiology and pathogenesis of obstructive sleepapneahypopnea syndrome and the treatment of traditional Chinese medicine from the perspective of constitution[J].,2019,(11):1440.
[8]孙瑞华,蔡新生△.中医药对大肠癌的精准治疗及研究进展*[J].陕西中医,2019,(11):1653.
[9]张 凡,闫小宁,李文彬,等.中西医结合治疗黄褐斑临床方案探讨*[J].陕西中医,2019,(12):1740.
[10]胡花婷,何侃成,李东芳,等.周衡教授运用苓桂术甘汤治疗痰饮病经验浅析[J].陕西中医,2019,(12):1762.

备注/Memo

备注/Memo:
*国家自然科学基金资助面上项目(8157150061)
更新日期/Last Update: 2019-11-15