社区场景下慢性胃炎的多学科诊治进展

Advancements in Multidisciplinary Diagnosis and Management of Chronic Gastritis within Community Healthcare Settings

摘要: 慢性胃炎(CG)是消化系统常见疾病，常分为幽门螺旋杆菌(Hp)感染和非Hp感染，社区条件下全科医学科常提供首诊完成CG患者的病史询问、查体、基本的检查与化验，并予以CG患者药物治疗，必要时进行双向转诊。中医参照“胃脘痛”“胃痞”单独或联合西药提供草药治疗CG患者，根据证型特点治疗。针灸科的针灸疗法能迅速改善CG患者消化道症状。护理中心或健康管理中心则提供健康宣教与管理，从认知与行为上改善患者生活饮食习惯。心理门诊通过疗愈、管理可提供负面情绪干预。康复医学科则通过手法和物理治疗改善患者症状。社区条件下的多学科诊治能改善慢性胃炎患者病情，提高生活质量，有望成为社区常规慢性病诊疗模式。

Abstract: Chronic gastritis (CG) is a prevalent condition within the digestive system, typically categorized into Helicobacter pylori (Hp)-associated and non-Hp-associated forms. In community healthcare settings, general practice departments commonly undertake initial consultations for CG patients, encompassing medical history taking, physical examination, basic diagnostic tests, and laboratory analyses, while also prescribing pharmacological treatments. If necessary, bidirectional referrals are arranged. Traditional Chinese Medicine (TCM) offers herbal remedies for CG patients, tailored to their specific syndrome patterns, either as standalone therapy or in conjunction with Western medicine, drawing upon diagnostic principles akin to “epigastric pain” and “abdominal distention”. Acupuncture therapy administered by specialized acupuncturists can swiftly alleviate gastrointestinal symptoms in CG patients. Nursing centers or health management centers deliver health education and management interventions aimed at modifying patients’ dietary and lifestyle habits through cognitive and behavioral approaches. Psychological clinics provide interventions for managing negative emotions through therapeutic techniques. Rehabilitation medicine departments employ manual and physical therapies to ameliorate patient symptoms. The implementation of multidisciplinary diagnosis and treatment within community settings has the potential to enhance the clinical outcomes and quality of life of CG patients, thereby establishing itself as a standard model for managing chronic diseases in the community.