首页|中西医结合诊治胃食管反流病的临床新进展

中西医结合诊治胃食管反流病的临床新进展

The latest progress in diagnosis and treatment of gastroesophageal reflux disease by integrated traditional Chinese and Western medicine

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胃食管反流病(GERD)的发病率近年来不断上升.目前西药对GERD的治疗手段主要为抑酸剂、促胃肠动力药与黏膜保护剂联用,然而长期使用抑酸剂不良反应大,特别是对于患有难治性胃食管反流病(RG-ERD)的患者,其症状往往更加严重,且复发率高;GERD也常伴有抑郁、焦虑等临床症状,对患者的日常生活造成了严重的影响.而中医药在治疗GERD方面取得了显著的疗效.因此,在利用西药针对性治疗的同时,结合中医药个体化治疗,可降低GERD复发率,减少对抑酸剂的依赖,从而提高患者的生活质量及临床疗效.本文旨在通过对近年来GERD文献的归纳总结,从中西医结合的角度详细阐述GERD的病因、诊断、治疗,为临床治疗GERD提供有价值的参考,力求减轻GERD患者身心痛苦,提高生活质量.
The incidence rate of gastroesophageal reflux disease(GERD)has been rising in recent years.At present,the main treatment methods for GERD using Western medicine are the combination of acid suppressants,gastrointestinal-motility promoting drugs,and mucosal protectors.However,the long-term use of acid suppressa-nts has significant adverse reactions,especially for patients with refractory gastroesophageal reflux disease(RG-ERD),whose symptoms are often more severe and the recurrence rate is high;GERD is often accompanied by clinical symptoms such as depression and anxiety,which have a serious impact on the daily life of patients.Tradi-tional Chinese medicine has achieved significant therapeutic effects in treating GERD.Therefore,while utilizing targeted treatment with Western medicine,individualized treatment with traditional Chinese medicine can often be combined to reduce the recurrence rate of GERD,reduce dependence on acid suppressants,and improve clinical ef-ficacy and patient quality of life.This article aims to summarize and summarize the literature on GERD in recent years and elaborate on the etiology,diagnosis,and treatment of GERD from the perspective of integrated Chinese and Western medicine,providing a valuable reference for clinical treatment of GERD,Striving to alleviate the physical and mental pain of GERD patients and improve their quality of life.

gastroesophageal reflux diseaseintegrated traditional Chinese and Western medicinediagnosistreatmenttraditional Chinese medicine syndrome differentiation

吴文涛、陈晓乐、胡素芹、李明彦、许阳、张勤生

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河南中医药大学(郑州,450046)

河南省中医院河南中医药大学第二附属医院肝胆脾胃病科

胃食管反流病 中西医结合 诊断 治疗 中医辨证分型

国家中医药管理局中医药循证能力提升项目河南省中医药科学研究专项课题

2019XZZX-XH0052023ZY2074

2024

10.3969/j.issn.1671-038X.2024.07.17

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子：1.363
ISSN：1671-038X
年,卷(期)：2024.32(7)