慢性胃炎的症状常不典型，需和消化性溃疡等相鉴别

Symptoms are often atypical chronic gastritis,Need to identify and peptic ulcer, etc

　　去年底，更新后的《中国慢性胃炎共识意见》正式出台，共识规范了慢性胃炎的治疗，认为慢性胃炎的治疗目的是缓解症状和改善胃黏膜炎性反应；治疗应尽可能针对病因，遵循个体化原则。中山大学附属第一医院消化科主任曾志荣教授在解读共识时表示，慢性胃炎的症状常不典型，因此需和消化性溃疡、胃肠神经官能症、慢性胆道疾病等相鉴别，必要时可通过胃镜检查和胃黏膜活组织检查来确诊。

At the end of last year,The updated[China's chronic gastritis consensus opinion]Formal introduction,Consensus standard treatment of chronic gastritis,Believe that the aim of treatment for chronic gastritis is to relieve symptoms and improve gastric mucosa inflammatory reaction;Treatment should be as close as possible to the cause,Follow the principle of individualization.First affiliated hospital of sun yat-sen university professor Ceng Zhirong digestive department director in the interpretation of the agreement,Symptoms are often atypical chronic gastritis,So need and peptic ulcer/Gastrointestinal neurosis/Chronic bile duct disease identification, etc,When necessary by gastroscopy and biopsy of gastric mucosa and confirmed.

　　慢性胃炎是由各种病因引起的胃黏膜慢性炎症，其中幽门螺杆菌感染是重要的原因之一。根据病理组织学改变和病变在胃的分布部位，结合可能的病因，将慢性胃炎分成非萎缩性、萎缩性和特殊类型三大类。该病发生于各年龄段，十分常见，男性多于女性。由幽门螺杆菌引起的大多数慢性胃炎患者无症状，有部分患者可表现为上腹痛或不适、上腹胀、早饱、嗳气、恶心等消化不良症状。曾教授介绍，广东省慢性胃炎患者不少见，但病史常不典型，症状并无特异性，体征较少。临床上主要根据病人的症状如饭后上腹部饱胀、疼痛等，可怀疑有慢性胃炎，该病需和消化性溃疡、胃肠神经官能症、慢性胆道疾病等相鉴别，必要时可通过胃镜检查和胃黏膜活组织检查来确诊。

Chronic gastritis is caused by various causes chronic inflammation of gastric mucosa,Helicobacter pylori infection is one of the important reasons.According to the pathological histology change and the distribution of the lesions in the stomach area,Combination may cause,Will chronic gastritis were divided into non atrophic/Atrophic and special type three categories.The disease occurs in all age groups,Is very common,Men more than women.Most chronic gastritis caused by helicobacter pylori in patients with asymptomatic,Some patients can be characterized by abdominal pain or discomfort/On abdominal distention/Early enough/belching/Indigestion symptoms such as nausea.Once professor,Patients with chronic gastritis as in guangdong province,But history is often not typical,No specific symptoms,Signs are less.Main according to the patient's clinical symptoms such as stomach full bilge after dinner/Pain, etc.,Can be suspected of chronic gastritis,The disease and peptic ulcer/Gastrointestinal neurosis/Chronic bile duct disease identification, etc,When necessary by gastroscopy and biopsy of gastric mucosa and confirmed.

　　哪些物质会刺激损伤我们的胃黏膜呢？曾教授表示，非常普遍！他介绍，外源性刺激包括不当食物，如酒精，辛辣、生冷、过烫、过硬的食物，它们进入胃内，常常刺激胃黏膜，引起不同程度的损伤；药物，特别是解热镇痛消炎药，极易导致胃黏膜损伤。内源性刺激主要是胃酸，胃酸常在饥饿、压力大、劳累、生活无规律等情况下分泌增加。“这些内外源性刺激损伤胃黏膜，我们就会感到胃痛了。”

Which substances will stimulate the gastric mucosa damage us?Professor once said,Is very common!He introduced,Exogenous stimuli including improper food,Such as alcohol,spicy/cold/Too hot/Good food,They move into the stomach,Often stimulate the gastric mucosa,Cause different degrees of damage;drug,Especially the antipyretic analgesic anti-inflammatory drugs,Easy to cause gastric mucosa damage.Endogenous stimulus mainly stomach acid,Hydrochloric acid in gastric juice in hunger/Pressure big/tired/Life irregular cases secretion to increase, etc."Within these exogenous stimulate gastric mucosa injury,We will feel stomachache."

　　新版共识中认为胆汁反流是慢性胃炎的病因之一，有结合胆酸作用的铝碳酸镁制剂可增强胃黏膜屏障并可结合胆酸，从而减轻或消除胆汁反流所致的胃黏膜损害。曾教授指出，胆汁反流增加胃黏膜腺体萎缩风险，胆汁反流的时间越长、次数越多，胃炎的病变程度则越重。 （记者冯冯）

In the new consensus that bile reflux is one of the causes of chronic gastritis,The aluminum magnesium carbonate preparation has the effect that combined cholic acid can strengthen gastric mucosa barrier and can be combined with bile acid,So as to reduce or eliminate bile reflux of gastric mucosa caused by damage.Once the professor points out that,Bile reflux increase the risk of gastric mucosa gland atrophy,The longer the time of bile reflux/The more times,Gastritis pathological change degree is more heavy. (The reporter feng feng)