{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"2128","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"2128","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:如何预防慢性胃炎_预防慢性胃炎应该做到等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"如何预防慢性胃炎_预防慢性胃炎应该做到","title":"如何预防慢性胃炎_预防慢性胃炎应该做到","channels":null},"data":{"list":[{"id":"1045","isDel":0,"createAt":1486385075316,"createBy":"3cc2575ce14111e6a61c00163e04584d","createName":"柠檬茶","updateAt":0,"updateBy":null,"updateName":null,"userId":"3cc2575ce14111e6a61c00163e04584d","title":"情绪对慢性胃炎的影响","content":"

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    慢性胃炎严重影响患者的身心健康和生活质量，患者随接受反复检查，但缺乏明显的结构或其他异常。在临床工作中我逐渐认识到精神心理因素与胃炎的起病和结果有关。发现好多胃病患者，都是因为不良情绪引起的。消化系统是情绪表达的最大器官。我希望胃病患者自己调理好自己的情绪。现把几种常见情况与广大患者共同学习：

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一. 焦虑、失眠 
有一些慢性胃病的患者，患病前就有神经衰弱，长期失眠、焦虑、忧郁；有一些患者得病后就心境不佳、长期情绪低落等。结果，植物神经机能失调，导致胃部血管痉挛性收缩，胃粘膜营养不良，胃腺分泌异常等，长期失调则发生慢性胃病。造成治疗困难。因此，由于具有否定性质的不良情绪的反复刺激，导致了躯体器质性疾病——慢性胃病。

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二 情绪不稳定造成疾病复发

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       经治疗后，病情会有所好转，但每因饮食不节或不良情绪因素而使病情反复。这样，就给患者本来忧郁的心头更罩上一层阴影，认为自己的病是不可救药了。这些都会加重患者的忧郁情绪，产生不愉快的心境，自然更加重了疾病的症状，导致心、身两方面的病理因素互相作用的恶性循环，增加了治疗的难度。

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三 恐癌情绪

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      根据观察，有部分患者因为其身边有癌症患者，自己的某些症状又有与其相同的症状，自己处于同病相连的感觉。这类患者大多数平素体质较差，内倾性气质，他们的神经过程平衡失调，表现在感受性过强，对外来的刺激和自身的不适的感觉域限小；情绪兴奋性强，且不易平复，兴奋不外显。对于这类病人的治疗，要把心理治疗和通过锻炼增强体质作为主要的治疗手段，辅以适当的药物治疗。 
四. 因病导致情绪不佳 
还有一类慢性胃病的患者，由于饮食失节、饮酒、劳累等原因发病，因未及时治疗或治疗不当，或根本不注意自己的饮食及生活规律，使病情逐渐加重，最后影响到工作、学习和日常生活。患者经常感到胃部胀痛不适，饮食日益减少，身体逐渐消瘦；尤其是自觉精神不振，对该做的事情心有余而力不足。

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五 因胃部不适而影响睡眠更使患者苦恼。

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       这些身体的不适作为一种精神刺激，使病人开始焦虑、烦躁，不能入睡。造成治疗效果差。这时如果治疗上能缓解其症状，不良情绪自然会消失；但如果治疗不满意，病情不见减轻，则病情会逐渐加重。

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六 对自己的症状过于关心

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有些患者每时每刻都在关注自己身体的某个部位，造成焦虑情绪，症状不见好转。

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七 要求自己吃下药就好起来

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     部分患者社会、家庭责任心太强，担负着病前能承担，但现在对他来讲是太重的担子，则治疗效果也不会好。长期下去，焦虑有增无减，最后当患者意识到自己再不能象从前那样精力充沛地工作、学习和生活后，他的情绪会急转直下，变得忧郁、淡漠、懒惰了。

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希望广大的胃病患者积极应对生活中的困难，早一天康复。有什么问题可以和我交流

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       我们人体主要通过两个系统与外界接触，一是呼吸系统，吸入氧气，排出二氧化碳，因为空气中含有细菌、病毒、粉尘等，所以人体不可避免地，会得呼吸道疾病；二是消化系统，我们的胃象一个容器一样，每天接受酸的、苦的、甜的、固体、液体等各种各样的饮食物，也不可避免地会得消化系疾病，“病从口入”讲的就是这个意思。在人的一生中恐怕没有人会从来没得过消化系的疾病。

       慢性胃炎是临床的常见病、多发病。很多人都有患过该病的经历，知道此病除了正规治疗外，防止复发，饮食调养显得非常重要。“三分治、七分养”说明自我调养对胃病患者非常重要。那么对慢性胃炎患者来讲，到底应该怎么样来注意饮食呢？

      首先是注意饮食行为，也就是要注意饮食规律，做到少吃多餐，忌暴饮暴食；早餐要饱，中餐要好，晚餐要少；“晚餐八分饱，健康活到老”睡前尽量少吃东西；晚餐后慢步三十分钟左右可以促进消化，“饭后百步走，活到九十九”餐后散步对慢性胃炎的人有一定的好处。

      其次注意饮食结构及质量。多吃易消化、高蛋白、低脂低盐饮食；少吃刺激性强的食品；如酸、辣、陈、臭、变质食品尽量少吃；煎炸食品少吃；南瓜、土豆、糯米、坚果类食品（花生、板栗等）等难以消化的食品少吃；浓茶、咖啡、酒少饮；

      食疗，针对不同的体质，可通过食疗来调养；脾胃虚弱者可用党参、云苓、白术与瘦肉煲汤，一周一到两次；湿气重者则可以苡米、淮山、冬瓜煲瘦肉汤，一周一到二次；热重易上火都则可以土茯苓保鸭汤；


","barId":"2128","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1401,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486385031465,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486385031464,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"3cc2575ce14111e6a61c00163e04584d","isDel":0,"createAt":1485158098983,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"柠檬茶","password":"888888","level":0,"nickName":"柠檬茶","realName":null,"signName":"柠檬茶，我最爱","head":"http://01luntan.com/ly_img/1485160807561.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3712","isDel":0,"createAt":1486384952996,"createBy":"3cc2575ce14111e6a61c00163e04584d","createName":"柠檬茶","updateAt":0,"updateBy":null,"updateName":null,"userId":"3cc2575ce14111e6a61c00163e04584d","title":"慢性胃病的元凶—幽门螺杆菌","content":"

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慢性胃病的发病原因一直不很清楚，故长期无理想的防治方法。1982年，澳大利亚学者马歇尔观察到胃粘膜中有一种叫幽门螺杆菌（简称HP）的细菌与慢性胃病发病有关。之后，国内外学者对此菌作了大量研究后发现：

 

（1）胃粘膜正常的志愿者，口服HP混悬液可引起胃炎症状和病理改变。

 

（2）患慢性胃炎时HP检出率很高，而胃粘膜正常者则不能检出此菌。

 

（3）慢性胃炎患者血清中HP抗体明显增高，胃液中可检出抗HP免疫球蛋白，这表明HP是有致病性的抗原（病原体）。

 

（4）针对HP进行治疗，可使慢性胃炎患者胃粘膜明显改善。

 

（5）60％－80％的胃溃疡和70％－100％的十二指肠溃疡患者的胃窦部可检出HP，血清学检查证实，这些人血清HP抗体滴度较高。

       （6）用传统抗溃疡药物治疗无效的难治性溃疡，改用抗HP药物治疗后，大部分溃疡能愈合。

 

（7）采用抗HP药物治愈的溃疡病复发率明显降低。

 

（8）用HP感染恒河猴，能使之发生慢性胃炎，胃粘膜的病理改变与人类感染相似，即制备HP胃炎动物模型获得了成功。以上说明，HP与慢性胃病有相关性是确凿无疑的。

 

现在医学界有以下共识：HP肯定是慢性胃炎的致病菌，与溃疡病和胃癌关系也极为密切。即是说，HP是引发慢性胃病的元凶和罪魁祸首。

 

因此，对慢性胃病的治疗，除使用传统的药物外，还应给予抗HP药物。现认为治疗此菌疗效较好的药物有：胶态次枸橼酸铋（亦名德诺）、阿莫西林、痢特灵和甲硝唑等。


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        门诊上经常有患者咨询在饮食上有什么禁忌。这里简单说一下适于大多数人的注意事项。

        一般来说有慢性胃肠病的患者要少吃，最好不吃油炸食品、生冷和过于酸辣带刺激性的食物，还要减少烧烤类食物和海鲜的摄入。过于甜腻的食品也会影响脾胃的消化吸收功能。具体来说包括类似炸鸡块这一类的食物、辣椒、冰镇饮料、浓茶、咖啡、麻辣烫、火锅、烤肉串、虾蟹等。多吃一些容易消化的，较温和的食物。牛奶和酸奶一般是可以吃的，因为酸奶一般要冷藏不能加热吃的时候要放在房间待到室温慢慢服用；而冰箱里拿出的牛奶最好热沸再晾一晾温服。总之，坚持一个原则，如果某种食物吃下去不舒服就不要吃了，而吃下去感觉较舒适，就可以吃，所谓“胃以喜为补”。

        另外，生活上也要注意调摄，首先作息时间要规律，尤其要定时吃饭，不要吃太饱，吃个七、八成饱即可。其次要休息好不能熬夜。还有要避免烟酒，保持心情愉快，减少精神压力，不要过于紧张和劳累等。所谓“胃病三分治，七分养”。


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\"u=3509437540,1760722791&fm=23&gp=0.jpg\"/

　　中药慢性萎缩性胃炎也称萎缩性胃炎是指胃粘膜表面反复受到损害后导致的粘膜固有腺体萎缩甚至消失粘膜肌层常见增厚的病理改变看好由于腺体萎缩或消失胃粘膜有不同程度的变薄并常伴有肠上皮化生炎性反应及不典型增生该病是消化系统常见疾病之一在我国一般宝贝人群中慢性为人胃炎的发病率甚高其中萎缩性胃炎占受检人数的%慢性现象萎缩性胃炎多由会诊慢性浅表性胃炎失治或误治转化而成少数萎缩性胃炎可演变为受不胃癌据报道我国萎缩性胃炎的癌变率为%。 
中国论文网 http://www.xzbu.com/6/view-2731825.htm
　　慢性萎缩性胃炎临床表现仅为上腹饱胀、嗳气、胃纳减退等消化不良症状，有时因胃内因子遭到破坏，维生素B12吸收不良可致贫血。内镜检查及活检是确诊慢性萎缩性胃炎的唯一手段。 
　　胃镜诊断应包括病变部位、萎缩程度、肠化生及不典型增生的程度。肉眼直视观察慢性萎缩性胃炎的粘膜多呈苍白或灰白，皱襞变细或平坦。粘膜可表现红白相间，严重的慢性萎缩性胃炎患者的粘膜有散在白色斑块。粘膜下血管显露为慢性萎缩性胃炎的特征，可见到红色网状小动脉或毛细血管，严重的慢性萎缩性胃炎，可见有上皮细胞增生形成细小颗粒或较大结节。亦有粘膜糜烂，出血现象。 
　　萎缩的程度，可分三级： 
　　轻度：胃窦部浅层腺体呈局灶性萎缩，减少，而大小弯腺体正常。 
　　中度：胃窦部及小弯腺体均有萎缩，减少，切范围较轻度广泛。 
　　重度：胃窦部大部分萎缩�减少，仅残留少数原有腺体，大�小弯及弯腺体萎缩;或粘膜显著变薄，原有腺体完全萎缩�消失，而代之以化生腺体。 
　　1 主要指责的单子治疗措施有 
　　1.1 抗幽门螺杆菌治疗。幽门螺杆菌是萎缩性胃炎的致病菌因此很难治疗萎缩性胃炎联系首先应进行抗菌顺利治疗具体方法是在胶体铋剂(果胶铋奥美拉唑枸橼酸铋等)中早点选择种加上克拉霉素阿莫西林甲硝唑种抗菌素中的种同时服用。 
　　1.2 服用胃粘膜保护剂。具有保护胃粘膜的常用主任药物有硫糖铝胃膜素叶绿素等硫糖铝能与胃粘膜的粘蛋白形成保护膜起到保护胃粘膜的许多作用;胃膜素能在胃内形成膜状物覆盖在胃粘膜上以减少胆汁反流对胃粘膜的刺激;叶绿素有促进胃粘膜永远炎症愈合的病因作用。 
　　1.3 服维酶素拒绝治疗。维酶素具有提高人体免疫力抑制癌细胞生长的师表作用因此萎缩性胃炎病人打听可选用维酶素花费治疗 
　　1.4 随和控制胆汁反流心里治疗。胆汁反流是萎缩性胃炎形成的一个常见一直原因为了准备控制手术胆汁反流病人很怕可服用吗丁啉(多潘力酮)普瑞博思(西沙必利)及胃复安等家长药物挂上治疗。 
　　1.5 饮食疗法。萎缩性胃炎病人显著应避免饮用浓茶烈酒咖啡等刺激性食物在进食时应注意细嚼慢咽忌暴饮暴食胃酸过低和有胆汁反流的萎缩性胃炎病人可惜宜多吃瘦肉禽肉鱼奶类等蛋白含量较高而脂肪含量较低的食物 
　　1.6 消除某些致病诱因。萎缩性胃炎病人应戒烟戒酒，并避免长期服用对胃粘膜有刺激的药健康物(水杨酸钠、消炎痛、保泰松和阿司匹林等)另外萎缩性胃炎病人还应保持乐观的情绪以增强机体的抗病能力。 
　　1.7 其他对症治疗：包括解痉止痛、止吐、助消化、抗焦虑、改善贫血等。对于贫血，若为缺铁，应补充铁剂。大细胞贫血者根据维生素B��12�或叶酸缺乏分别给予补充。方法是维生素B��12�50～ 100μg/日，连用20～30天;叶酸5～10mg，每日3次，直至症状和贫血完全消失。 
　　1.8 手术治疗：中年以上的慢性萎缩性胃炎患者，如在治疗或随访过程中出现溃疡、息肉、出血，或即使未见明显病灶，但胃镜活检病理中出现中、重度不典型增生者，结合患者临床情况可以考虑作部分胃切除，从这类病人的胃切除标本中可能检出早期胃癌。 
　　2 如何预防慢性萎缩性胃炎 
　　2.1 所食食品要新鲜并富于营养，保证有足够的蛋白质、维生素及铁质摄入。按时进食，不暴饮暴食，不吃过冷或过热的食物，不用或少用刺激性调味品如鲜辣粉等。 
　　2.2 节制饮酒，不吸烟，以避免尼古丁对胃粘膜的损害;避免长期服用消炎止痛药，如阿斯匹林及皮质激素类药物等，以减少胃粘膜损害。 
　　2.3 定期检查，必要时作胃镜检查。 
　　2.4 遇有症状加重、消瘦、厌食、黑粪等情况时应及时到医院检查。

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