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中西医结合治疗幽门螺杆菌感染现状及策略

张学智 丁霞 刘震 叶晖 贾晓芬 成虹 吴震宇 唐旭东

中医杂志2026,Vol.67Issue(1):111-116,6.
中医杂志2026,Vol.67Issue(1):111-116,6.DOI:10.13288/j.11-2166/r.2026.01.017

中西医结合治疗幽门螺杆菌感染现状及策略

Current Status and Strategies of Integrated Traditional Chinese and Western Medicine in the Treatment of Helicobacter pylori Infection

张学智 1丁霞 2刘震 3叶晖 1贾晓芬 1成虹 1吴震宇 4唐旭东5

作者信息

  • 1. 北京大学第一医院,北京市西城区西什库大街8号,100034
  • 2. 北京中医药大学中医学院
  • 3. 中国中医科学院广安门医院
  • 4. 首都医科大学附属北京中医医院
  • 5. 中国中医科学院西苑医院脾胃病研究所
  • 折叠

摘要

Abstract

This paper systematically reviews the current status of integrated traditional Chinese and western medi-cine in the treatment of Helicobacter pylori(Hp)infection,as well as recent progress in clinical and basic research both in China and internationally.It summarizes the advantages of traditional Chinese medicine(TCM)in Hp infec-tion management,including improving Hp eradication rates,enhancing antibiotic sensitivity,reducing antimicrobial resistance,decreasing drug-related adverse effects,and ameliorating gastric mucosal lesions.These advantages are particularly evident in patients who are intolerant to bismuth-containing regimens,those with refractory Hp infection,and individuals with precancerous gastric lesions.An integrated,whole-process management approach and individual-ized,staged comprehensive treatment strategies combining TCM and western medicine are proposed for Hp infection.Future prevention and control of Hp infection should adopt an integrative Chinese-western medical strategy,emphasiz-ing prevention,strengthening primary care,implementing proactive long-term monitoring,optimizing screening strategies,and advancing the development of novel technologies and mechanistic studies of Chinese herbal inter-ventions.These efforts aim to provide a theoretical basis and practical pathways for the establishment and improve-ment of Hp infection prevention and control systems.

关键词

幽门螺杆菌/抗生素耐药/胃黏膜病变/中西医结合疗法

Key words

Helicobacter pylori/antibiotics resistance/gastric mucosal lesions/integrated traditional Chinese and western medicine

引用本文复制引用

张学智,丁霞,刘震,叶晖,贾晓芬,成虹,吴震宇,唐旭东..中西医结合治疗幽门螺杆菌感染现状及策略[J].中医杂志,2026,67(1):111-116,6.

基金项目

中国科学技术协会2024年中医脾胃病学学科发展研究项目(2024XKFZYJ) (2024XKFZYJ)

中医杂志

1001-1668

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