难治性胃食管反流病中西医诊治策略

来源 :江苏省中西医结合学会消化系统专业委员会学术年会 | 被引量 : 0次 | 上传用户:q372245556
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胃食管反流病(gastroesophageal reflux disease,GERD)指胃内容物反流入食管,引起不适症状和(或)并发症的一种疾病。可分为非糜烂性反流病、反流性食管炎、Barrett食管病。分析了胃食管反流病发病机制,烧心、反流是其典型症状。明确了胃食管反流病的诊断方法。缓解症状、改善生活质量是其治疗原则,改变生活方式、药物治疗、内镜下治疗、手术治疗是其常用治疗方法。强调发挥中医的治疗优势,分析了半夏泻心汤、和降胶囊加减治疗的临床疗效。半夏泻心汤加减能有效改善非糜烂性反流病寒热错杂证患者反流症状,疗效与伴托拉唑相似。半夏泻心汤加减能提高睡眠质量,缓解焦虑抑郁情绪,提高生活质量,优于单用伴托拉唑。
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