首页|期刊导航|实用中医内科杂志|功能性消化不良的中西医研究进展

功能性消化不良的中西医研究进展OA

Research Progress of Chinese and Western Medicine Cooperation in Treating Functional Dyspepsia

中文摘要英文摘要

功能性消化不良(functional dyspepsia,FD)是临床最常见的功能性胃肠疾病.FD患者需长期用药,且易伴随焦虑、抑郁、睡眠障碍等身心问题,对其日常生活质量造成显著影响.FD可根据其临床表现归属于"痞满""胃脘痛"等范畴,病因病机主要涉及脾胃虚弱,以脾虚为本.其西医发病机制主要与胃动力功能障碍、内脏高敏感反应、脑肠交互障碍、肠道菌群失调等有关.在治疗上,中医采用内治法、中药复方及外治法针灸、穴位贴敷、推拿等方法进行治疗.西医治法包括促胃动力、抑酸剂、根除幽门螺杆菌治疗、电刺激疗法、中枢神经调节剂及胃黏膜保护剂等药物为主.中西医治疗各具优势,临床需结合患者具体病情选择适配方案.基于此,文章通过回顾近年国内外关于FD的中西医相关研究并进行综述,旨在为临床治疗FD的思路拓展与方法优化提供新的参考方向.

Functional Dyspepsia(FD)is the most common functional gastrointestinal disease in clinical practice,and pa-tients with FD often suffer from physical and mental problems such as anxiety,depression,and sleep disorders,which have a sig-nificant impact on their daily lives.FD can be categorized into the categories of"fullness","stomach pain",etc.,according to its clinical manifestations.FD can be categorized as"plumpness"and"gastric pain"according to its clinical manifestations,and its etiology mainly involves the weakness of the spleen and stomach,with spleen deficiency as the main cause.Its pathogenesis in western medicine The pathogenesis is mainly related to gastric dysfunction,visceral hyperreactivity,cerebral-intestinal interac-tion disorder,and intestinal flora imbalance.In terms of treatment,Chinese medicine adopts the internal treatment method of tradi-tional Chinese medicine compound and the external treatment method of acupuncture,acupressure,and tuina for treatment.West-ern medical treatments include:gastric stimulation,acid suppressants,H.pylori eradication therapy,electrotherapy,central neuro-modulators and gastroprotectors and other drugs mainly.Chinese and western medical treatments have their own advantages,and the clinic needs to choose the appropriate program according to the patient's specific condition.Based on this,this article reviews the recent studies on FD in both Chinese and western medicine at home and abroad,aiming to provide a new reference direction for the expansion of clinical thinking and optimization of the treatment of FD.

王希宁;刘继东

辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学,辽宁沈阳 110847

医药卫生

功能性消化不良中西医结合疗法病因病机研究进展

functional dyspepsiacombined Chinese and western medicine therapyetiology and pathogenesisresearch pro-gress

《实用中医内科杂志》 2026 (1)

14-18,5

国家自然科学基金面上项目(82474634)辽宁省教育厅高等学校基本科研项目(LJKZ0886)辽宁省科学技术计划项目(2021-MS-248)

10.13729/j.issn.1671-7813.Z25091706

评论