摘要
在我国,胃溃疡是最常见的消化系统疾病之一,其发病率较高,多发于45~55岁之间,约占患病总人数的1/5。近年来,由于生活节奏的加快和精神压力的增加,该疾病的发病率也在不断上升,并逐渐成为各类消化道疾病的首位。胃溃疡主要以上腹部疼痛为主,开始时有一定规律,一般是在饭后一小时之内就会出现,如胃酸过多或食物刺激较强时,就会出现剧烈的腹痛,可伴有绞痛,少数患者表现为上腹部烧灼感或针刺感等不适。作为一种临床的常见病、多发病,其发病主要与幽门螺杆菌感染导致的胃酸、胃蛋白酶原活性、胃壁细胞的破坏有关。从中医的角度讲,胃溃疡属于中医“胃脘痛”、“脘痞”、“痞满”等范畴,其病因病机认为,此病多与饮食不节、情志失调有关。目前治疗胃溃疡的药物主要有抑酸药、质子泵抑制剂、胶体铋剂等。但长期服用药物会对胃粘膜造成损害,降低疗效。近些年来,中医在胃溃疡的防治中发挥了重要的作用。本文就中医治疗胃溃疡的进展进行综述,为此病的防治提供参考。In China, gastric ulcer is one of the most common digestive system diseases, with a high incidence rate, which mostly occurs between 45 and 55 years old, accounting for about 1/5 of the total number of patients. In recent years, due to the acceleration of the pace of life and the increase of mental stress, the incidence rate of the disease is also rising, and gradually becomes the first of all kinds of digestive tract diseases. Gastric ulcer is mainly characterized by upper abdominal pain, which has a certain pattern at the beginning and usually appears within one hour after meals. When there is excessive stomach acid or strong food stimulation, severe abdominal pain may occur, accompanied by colic. A few patients may experience discomfort such as burning sensation or needle pricking sensation in the upper abdomen. As a common and frequently occurring clinical disease, its onset is mainly related to the destruction of gastric acid, pepsinogen activity, and gastric wall cells caused by Helicobacter pylori infection. From the perspective of traditional Chinese medicine, gastric ulcer belongs to the categories of “epigastric pain”, “epigastric pain”, “epigastric fullness”, etc. Its etiology and pathogenesis are believed to be related to irregular diet and emotional disorders. At present, the main drugs used to treat gastric ulcers include acid suppressants, proton pump inhibitors, colloidal bismuth agents, etc. However, long-term use of medication can cause damage to the gastric mucosa and reduce its therapeutic effect. In recent years, traditional Chinese medicine has played an important role in the prevention and treatment of gastric ulcers. This article reviews the progress of traditional Chinese medicine in treating gastric ulcers, providing reference for the prevention and treatment of this disease.
出处
《中医学》
2025年第1期18-22,共5页
Traditional Chinese Medicine
