Research progress on the mechanism of Traditional Chinese Medicine in the treatment of gastric intestinal metaplasia
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摘要: 胃黏膜肠上皮化生(gastric intestinal metaplasia,GIM)作为一种常见的胃癌前病变,是早期胃癌发生的重要风险因素。西医以根除幽门螺杆菌、保护黏膜、中和胆汁等治疗为主,缺乏可直接阻断或者逆转GIM进展的药物,大量临床研究表明中医药治疗GIM在改善临床症状、黏膜病理及胃功能方面具有一定作用,但其作用机制尚未完全阐明,本文检索并整理近年来中医药治疗GIM的相关文献,从炎症、细胞凋亡与增殖、微血管增殖等角度深入挖掘其作用机制,并分析问题与不足,为中医药治疗GIM的临床及分子生物学研究提供科学依据。Abstract: As a common gastric precancerous lesion, gastric intestinal metaplasia(GIM) is an important risk factor for the occurrence of early gastric cancer. Western medicine focuses on Hp eradication, mucosa protection, and bile neutralization, but lacks drugs that progression of GIM. A large number of clinical studies have shown that the treatment of GIM with Traditional Chinese Medicine has a certain effect in improving clinical symptoms, mucosal pathology and gastric function, but its mechanism of action has not been fully clarified. Literature on the treatment of GIM with Traditional Chinese Medicine in recent years was retrieved and sorted out. From the perspectives of inflammation, cell apoptosis and proliferation, microvascular proliferation and other aspects, the mechanism of its action was deeply explored, and the defects and deficiencies were analyzed to provide scientific basis for clinical and molecular biological research on the treatment of GIM by Traditional Chinese Medicine.
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Key words:
- gastric intestinal metaplasia /
- Traditional Chinese Medicine /
- mechanism /
- inflammation /
- apoptosis /
- microangiogenesis
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