老年胃食管反流病中西医治疗进展

摘要

老年胃食管反流病发病率呈递增趋势,虽然研究证实胃食管反流病老年人群与中青年人群的发病特点有较大的差异,但目前仍然没有专门针对老年胃食管反流病的治疗方法.西医主要通过心理干预、抑酸药物及外科手术、内镜治疗为主;中医以专方专药、辨证分型治疗和中医外治法治疗.需要通过对现有治疗方案的筛选、验证最终实现优化后的老年胃食管反流病的个性化治疗方案.%The incidence of senile gastroesophageal reflux disease has increased by a large margin. The onset characteristics of gastroesophageal reflux disease between the senior and the young and middle-aged group were different. While so far, no specific treatments on senile GERD have been brought up. Western medicial treatments on CERD mainly depended on psychological intervention, acid-inhibition drugs, suigeiial and endoscopic operations. By means of classification of syndrome differentiation, specific prescriptions and external treatment, Chinese medicine has great endeavour to slow down the course of CERD. Various current therapies of CERD should be selected and great efforts should be taken to verify and confirm which is the most suitable treatment option for elderly patients.