“促修复为主”治疗消化性溃疡的探讨

    Treating Peptic Ulcer Focusing“Mainly on Repair”

    • 摘要: 长期以来,抑酸为主的消化性溃疡治疗习惯导致抑酸剂不合理用药增多,不良反应报道日益增多,溃疡复发率居高不下。实际上胃酸是一种正常的生理性存在,并不是消化性溃疡发生的根本原因。消化道黏膜屏障受损才是引发溃疡的关键因素。促进溃疡愈合的核心在于迅速修复受损的黏膜屏障。本文提出,消化性溃疡的治疗应以“促进修复为主,抑制胃酸为辅”。本文从抑酸剂存在的问题、消化性溃疡的发病机制,以及修复类药物的疗效与现存问题等多个维度,对该观点的合理性与科学性进行了详尽阐述。

       

      Abstract: For a long time, the treatment of peptic ulcers mainly focusing on acid suppression has led to an increase in the irrational use of acid suppressants. There has been a growing number of reports on adverse reactions, and the ulcer recurrence rate remains stubbornly high. In fact, gastric acid is a normal physiological substance and is not the fundamental cause of the occurrence of peptic ulcers. The damage to the gastrointestinal mucosal barrier is the key factor triggering ulcers. The core of promoting ulcer healing lies in the rapid repair of the damaged mucosal barrier. This article proposes that the treatment of peptic ulcers should prioritize the strategy of "focusing on promoting repair and supplementing with acid suppression". This article elaborates in detail on the rationality and scientific nature of this viewpoint from multiple dimensions, such as the problems existing in acid suppressants, the pathogenesis of peptic ulcers, and the efficacy and existing problems of repair drugs.

       

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