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反流性食管炎的中医治疗进展

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反流性食管炎是一种较为常见的消化系统疾病,是指胃及十二指肠内容物反流进入食管造成食管黏膜损伤而引起的食管炎症性病变.临床表现为反酸、烧心、胸骨后疼痛,如不进行积极有效的治疗,会导致食管狭窄引起吞咽困难,最终引起食管癌.该病具有慢性、复发性和难以缓解的特点.近年来,伴随人们生活节奏的加快及饮食结构的转变,饮食不加节制,嗜食肥甘厚味,加之生活、工作压力过大,肥胖、饮酒、服用药物等,使反流性食管炎发病率呈递增趋势.大多数学者认为该病的发病机制主要为食管抗反流功能降低,目前通常以恢复食管抗反流功能、消除临床症状和降低并发症为主要治疗目的,临床上尚无特效药物,西药治疗方法单一且疗程较长.中医认为本病隶属于"嘈杂""噎膈"等范畴,基本病机为胃失和降、胃气上逆,病因主要有饮食不节、情志失调、感受外邪等,病位主要在食管、肝、胆、脾、胃等.临床研究证实,中医药在治疗反流性食管炎方面具有良好的疗效,中西医结合、针灸、穴位按摩、电针等均有明显治疗效果,且可以减少现代医学常规治疗的不良反应,亦可以减少促胃动力药和抑酸药等西医常规药物的耐药性.
Progress of traditional Chinese medicine treatment for reflux esophagitis
Reflux esophagitis(RE)is a relatively common digestive system disease,which refers to the inflammation of the esophagus caused by the reflux of gastric and duodenal contents into the esophagus and causing damage to the esophageal mucosa,with clinical manifestations such as acid reflux,heartburn,and retrosternal pain.If it is not treated actively and effectively,it can lead to esophageal stenosis and dysphagia and eventually esophageal cancer.In recent years,with the acceleration of people's pace of life and the change of dietary structure,uncontrolled diet,craving for fat and sweet flavored food,coupled with excessive pressure in life and work,obesity,drinking and taking drugs,etc.,the incidence of reflux esophagitis is increasing.Most scholars believe that the pathogenesis of this disease is mainly due to the re-duction of esophageal anti-reflux function.Currently,the main therapeutic purpose is to restore esophageal anti-reflux function,eliminate clinical symptoms and reduce complications.There is no specific drug for the treatment of reflux esophagitis clinically,and the western drug treatment method is single and the course of treatment is long.In addition,the disease is chronic,recurrent and difficult to relieve.Traditional Chinese medicine believes that the disease belongs to the traditional Chinese medicine category of"gastric discomfort"and"choking diaphragm",of which the basic patho-genesis is stomach disharmony and reverse stomach Qi(气).The main causes are improper diet,emotional disorders,exogenous pathogenic factors,etc.The disease is mainly in esophagus,liver,gallbladder,spleen,stomach,etc.Medical research has confirmed that traditional Chinese medicine has a good curative effect in the treatment of reflux esophagitis,and the combination of traditional Chinese medicine and Western medicine,acupuncture,acupres-sure,electroacupuncture,etc.have obvious therapeutic effect,and it can reduce the toxic side effects of modern medical conventional treatment,and reduce the drug resistance of gastric motility drugs and acid suppressive drugs and other conventional Western medicine.

Reflux esophagitisTCMReview

张璇、王玉娟

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山东中医药大学,山东 济南,250355

济南市中医医院,山东 济南,250014

反流性食管炎 中医 综述

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(21)