摘要
慢性胃炎包括慢性非萎缩性胃炎和萎缩性胃炎,部分非萎缩性胃炎逐步向萎缩性胃炎转变。慢性萎缩性胃炎病程长,临床表现没有特征性,是消化系统疾病中的难治病,也是胃癌前病变的一种。脾胃湿热证是临证中慢性萎缩性胃炎的常见证型,慢性萎缩性胃炎发病中期多属脾胃湿热证,发病后期多属胃络瘀血证。慢性萎缩性胃炎脾胃湿热证病机总体存在着由湿热致虚,由湿热致瘀的转化趋势,胃络瘀血证在重度萎缩及肠化生中出现的频率明显高于其他证型,提示清热利湿、活血化瘀治法在防治或截断慢性非萎缩性胃炎向萎缩性胃炎癌前病变乃至向胃癌的发展中具有重要意义.
Chronic gastritis includes chronic non-atrophic gastritis and atrophic gastritis.Chronic atrophic gastritis(catrophic gastritis)has a long course and no characteristic clinical manifestations.Spleen and stomach dampness-heat syndrome is the common witness type of chronic atrophic gastritis in clinical syndrome.The pathogenesis of chronic atrophic gastritis is characterized by deficiency of damp heat and transformation from damp heat to blood stasis.The frequency of blood stasis of stomach collaterals in severe atrophy and intestinal metaplasia is significantly higher than that of other syndromes.It suggests that clearing heat and removing dampness,activating blood and removing stasis therapy can prevent or cut off the precancerous lesions of chronic non atrophic gastritis to atrophic gastritis and even the precancerous lesions of atrophic gastritis.The development of gastric cancer is of great significance.
作者
徐晓惠
章程鹏
孙易娜
吕文亮
XU Xiaohui;ZHANG Chengpeng;SUN Yina;LYU Wenliang(Clinical College of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430061;President’s Office,Hubei University of Chinese Medicine,Wuhan 430065)
出处
《湖北中医药大学学报》
2019年第6期51-57,共7页
Journal of Hubei University of Chinese Medicine
基金
湖北省卫计委2016-2017年度中医药中西医结合科研项目(鄂卫生计生通[2017]20号).
关键词
脾胃湿热
慢性萎缩性胃炎
慢性非萎缩性胃炎
证候演化
dampness and heat of spleen and stomach
chronic atrophic gastritis
chronic non-atrophic gastritis
syndrome evolution
