慢性萎缩性胃炎的中西医治疗进展

Progress in the Treatment of Chronic Atrophic Gastritis with Both Traditional Chinese and Western Medicine

摘要: 慢性萎缩性胃炎(chronic atrophic gastritis, CAG)，是指胃黏膜上皮反复受到损伤，致固有腺体减少，伴或不伴有肠上皮化生或不典型增生，是一种常见的慢性胃部炎症性疾病。对CAG的治疗，西医多采用对症支持疗法等，虽短期可以快速改善胃部不适的症状，但因慢性萎缩性胃炎发病机制复杂、治疗难度大、恢复期长等特点，患者长时间的三联或者四联西医治疗，易形成耐药，且病情易反复发作，中西医结合在治疗本病方面有独特优势，且具有安全性高、副作用小、疗效显著等优点。

Abstract: Chronic atrophic gastritis (CAG) refers to repeated damage to the gastric mucosal epithelium, resulting in a reduction of the intrinsic glands, accompanied or not by intestinal metaplasia or atypical hyperplasia. It is a common chronic inflammatory disease of the stomach. For the treatment of CAG, Western medicine mostly adopts symptomatic and supportive therapies, which can quickly alleviate the symptoms of stomach discomfort in the short term. However, due to the complex pathogenesis, high treatment difficulty, and long recovery period of chronic atrophic gastritis, patients who undergo long-term triple or quadruple Western medical treatment are prone to develop drug resistance, and the condition is prone to relapse. The combination of traditional Chinese and Western medicine has unique advantages in treating this disease, and it has the advantages of high safety, low side effects, and significant efficacy.