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慢性胃炎(chronic gastr tis)在现代社会生活中是消化道常见疾病之一,镜下以胃黏膜的慢性炎症或萎缩性病变为主要表现,90%以上病因为幽门螺杆菌感染,其次为免疫因素、物理因素、化学因素以及其他慢性疾病所致。生活节奏的加快,竞争加剧,导致人们的精神压力增加、饮食习惯及生活规律改变,使慢性胃炎的患病人数增加。中华医学会消化分会结合悉尼慢性胃炎分类系统以及临床、内镜和病理组织学结果将慢性胃炎分为浅表性、萎缩性、特殊性胃炎三类,随年龄增长萎缩性病变的发生率逐渐增高,甚至发生癌变。慢性胃炎的主要症状是上腹部疼痛和消化不良,胃黏膜病变程度与症状的轻重表现不一致,临床表现缺乏特异性。因此,针对病因、临床症状、电子内镜检查及病理结果等采用联合用药进行治疗,越来越受到医疗界的重视。本文将针对慢性胃炎病因、内镜检查、病理结果、药物治疗加以综述。
Chronic gastritis is one of the most common diseases of the digestive tract in modern society. Chronic gastritis is characterized by chronic inflammation of the gastric mucosa or atrophic lesion. More than 90% of the causes are Helicobacter pylori infection, followed by immune factors , Physical factors, chemical factors and other chronic diseases. The accelerated pace of life and intensified competition have led to increased mental stress, changes in eating habits and living patterns, and an increase in the number of people suffering from chronic gastritis. Chronic Gastritis is divided into three categories: superficial, atrophic, and special gastritis according to the classification system of chronic gastritis and clinical, endoscopic and histopathological findings in Chinese Medical Association digestive branch. The incidence of atrophic lesions gradually increases with age , And even cancer. Chronic gastritis is the main symptoms of upper abdominal pain and indigestion, gastric mucosal lesions and severity of the symptoms of inconsistent performance, the lack of specificity of clinical manifestations. Therefore, for the cause, clinical symptoms, electronic endoscopy and pathological results using combination therapy for treatment, more and more medical attention. This article will address the etiology of chronic gastritis, endoscopy, pathological findings, drug treatment are reviewed.