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Clinical treatment of chronic gastritis
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Clinical treatment of chronic gastritis
[Keywords:] Clinical treatment of chronic gastritis Cause of chronic gastritis is caused by a variety of chronic inflammatory disease or gastric atrophic lesions. The high incidence of clinically very common, accounting for endoscopy in patients receiving 80% to 90% more men than women, with age increased incidence gradually increased. etiology of Helicobacter pylori infection, diet and environmental factors, autoimmune factors, others such as bile, pancreatic juice reflux, alcohol, taking NSAID, some of the irritating food. Among the most gastric Hp infection common. According to histopathological changes, will be divided into superficial chronic gastritis, atrophic and special types of three categories. at sites of inflammation into chronic antral gastritis and chronic inflammation of the stomach, which is autoimmune related, accompanied by pernicious anemia, the incidence is low. Clinical common chronic gastric inflammation, the main pathological features are inflammation of the gastric glands late atrophy and intestinal metaplasia as the main pathological features.
[Therapy] (A) general treatment Zhu Huanzhe attention to rest, living, and quit alcohol, avoid coffee, tea and other spicy food. Try to avoid using the drug on the gastric mucosa damage.
(B) drug treatment l. by the relevant anti-Hp treatment of Hp infection diagnosed, treatment should be eradication of Hp. commonly used is colloidal bismuth-based and proton pump inhibitor (PPI) based triple combination therapy: such as Ogilvy amp; Mather pull yl (omeprazole) 20mg, 2 times a day, oral, or bismuth potassium citrate (Franc Sidel) 110mg, 4 times a day, oral, amoxicillin 1 g, 2 times a day, oral, metronidazole 400mg, 2 times a day, orally. course of 7 to 14 days.
2. Acid suppression therapy, such as Hp test negative, could be acid suppression therapy, and can be used H2 receptor antagonists, such as ran
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