基于“治未病”思想防治慢性萎缩性胃炎

Prevention and Treatment of Chronic Atrophic Gastritis Based on the Idea of “Preventive Treatment of Disease”

摘要: 随着经济社会的发展，人口老龄化日趋严重，临床上诊断为CAG比例逐渐升高，给患者家庭及社会带来沉重的负担。目前临床上认为CAG的发生主要是由于多种因素共同作用造成的，经电子胃镜取组织病理活检而诊断，但是发病机制尚不明确，临床常用叶酸片、摩罗丹联合PPI、胃粘膜保护剂等进行试验性治疗，疗效明显。但治疗CAG的关键并不是药物治疗，而是在于早预防，早发现，因此“治未病”理论在CAG的防治中起到关键作用。有研究表明，“治未病”理论是一种从根本上防治CAG的新方法。文章将从“治未病”理论入手，探讨防治CAG“未病先防、既病防变、瘥后防复”这三个方面的临床运用。为临床提供一种新的思路，为优化治疗方案提供依据。

Abstract: With the development of economy and society, the aging of the population is becoming more and more serious, and the proportion of clinically diagnosed CAG is gradually increasing, which brings heavy burden to the patients’ family and society. At present, it is believed that the occurrence of CAG is mainly caused by the joint action of various factors. It is diagnosed by electronic gastroscopy and pathological biopsy, but the pathogenesis is not clear, including folic acid tablets, Moradan combined with PPI and gastric mucosal protective agent in clinical treatment, with obvious effect. However, the key to treating CAG is preventive treatment of disease, but early prevention and early detection, so the theory of “preventive treatment of disease” plays a key role in the prevention and treatment of CAG. Some studies have shown that the theory of “preventive treatment of disease” is a new way to fundamentally control CAG. Article will start from the theory of “preventive treatment of disease”, discusses the prevention and control of CAG “prevent before getting sick, prevent changes after getting sick, and prevent relapse after getting sick” these three aspects of clinical use. To provide a new clinical idea and provide the basis for optimizing the treatment plan.