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萎缩性胃炎怎么治疗 李芳 陕西省中医医院 萎缩性胃炎所谓萎缩有的人说是不是胃变小了,不是这个意思,他是指的是腺体的萎缩,腺体的萎缩就会导致它需要分泌的一些物质就会减少,在这种情况下胃的消化功能就会减弱,所以在治疗当中有不一样的治疗方法,治疗的原则就是说西医的治疗原则也是一样的,就说是保护胃黏膜促进胃动力,在中医当中我们是要可能西医在这方面它当患者出现肠化的时候,已经没有特别好的疗效了,那么在这个时候我们用中药是可以起到一个更好的通过整体调理,健脾化湿来促进胃肠的功能的恢复,在这个过程中我们在不断随访和复查当中也会发现有些人的萎缩,他的程度会减轻,萎缩性胃炎的症状其实和慢性胃炎的症状差别并不是很大,更多的还是体现在一个个体化的一个表现,包括胃疼、胃胀、反酸、烧心、打嗝、嗳气等等这些症状,非萎缩性胃炎的症状和萎缩性胃炎的症状其实差别不是很大,我们先说萎缩和非萎缩,那么萎缩和非萎缩做怎么诊断,在内镜下我们取活检发现这个病人的胃的腺体发生萎缩,这个叫萎缩性胃炎,那么如果没有萎缩,仅仅是一个炎症改变,就是说非萎缩性胃炎这个是病理诊断,病理诊断和他症状诊断并不是完全一致的不完全成正比的,并不是说非萎缩性胃炎的症状就一定比萎缩性胃炎的症状轻,这也是有个体性差异在里面的,所以从症状学诊断和病例诊断来说是有区别的。 How to treat atrophic gastritis Atrophic gastritis is called atrophic. Some people say that the stomach is getting smaller, That's not what I mean, He's referring to the atrophy of the glands, Atrophy of the gland leads to a decrease in the amount of material it needs to secrete, In this case, the digestive function of the stomach will be weakened, So there are different treatments, The principle of treatment is the same as that of Western medicine, It is to protect gastric mucosa and promote gastric motility, In traditional Chinese medicine, we need to make it possible for western medicine to treat this problem when patients have intestinal metaplasia, There is no good curative effect, So at this time, we can play a better role in overall conditioning by using traditional Chinese medicine, Invigorating the spleen and removing dampness to promote the recovery of gastrointestinal function, In the process of follow-up and reexamination, we will find some people's atrophy, His level will be reduced, The symptoms of atrophic gastritis are not very different from those of chronic gastritis, It is more embodied in an individual performance, Including stomach pain, bloating, acid reflux, heartburn, burping, belching and so on, The difference between the symptoms of non atrophic gastritis and atrophic gastritis is not great, Let's start with atrophy and non atrophy, How to diagnose atrophy and non atrophy, Under the endoscope, we took a biopsy and found that the gland of the stomach in this patient had atrophy, This is called atrophic gastritis, So if it doesn't shrink, It's just an inflammatory change, That is to say, non atrophic gastritis is a pathological diagnosis, The pathological diagnosis is not completely consistent with the diagnosis of other symptoms, It's not that the symptoms of non atrophic gastritis are necessarily lighter than those of atrophic gastritis, There are also individual differences, So there are differences between symptomatological diagnosis and case diagnosis.