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a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > h2{}.products_52_wrapper li p{}.mobiles_sidebar{}.foot_contact:before{}.index_sub_title a{}.other_184_right{}.HJZF_contact_inquiry{}.hj_navbar_nav > li > a > h2:before{}.nav_li.on>a h2{}.container-fluid{}.other_184_right{}.other_184_right>.index_sub_title{}#news-44_1891 > section > div > div > div > ul > li > div > div.index_text{}.other_184_right>.con{}.other_184_pagination{}.banner_27_zyzfw{}#aboutus-23_1891 > section > div > div > div > ul > li:nth-child(4){}.main_page{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(2) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(3) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(2):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(4).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(4):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(5).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(5):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(6).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(6):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(7).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(7):hover a{}.HJZF_Z__inner_product_categroy5 ul 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img{}.runlin_banner{}.runlin_banner_left{}.runlin_banner_right{}.runliin_top_email{}.runlin_email.first{}.runlin_des + .more{}.runlin_left li{}.runlin_yiji > span h3{}.submit_runlin_search{}.nav_drop{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > div.runlin_des > b{}.hjzf2_z_products_list_left a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{flex:0 0 100%}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > 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section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, 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胃痛、胃胀、胃不适,打响节后保“胃”战
  2024/02/18| 阅读次数:2159

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幸福的长假已经结束了,大家过得怎么样?是不是从初一吃到初八,顿顿大鱼大肉,桌上不见素,还要吃点冷菜搭个酒,闲暇时间手里抓着瓜子花生?同时正常的作息也被打乱,精神也持续亢奋。


这几天一过,有个器官会先承受不住——那就是胃部!如果你经常吃完饭后一小时左右,就开始上腹部疼痛,表现为钝痛、胀痛、灼痛或饥饿感,过一到两小时后逐渐缓解,那很有可能是胃溃疡找上了你!




什么是胃溃疡?


胃溃疡是个极为常见的疾病。根据不完全统计,慢性胃溃疡在全球发病率为5%~10%,并有逐年增加的趋势。我国胃镜检查患者中,消化性溃疡占15%~35%,50~60岁的男性是患病主力军。


慢性胃溃疡的发生有明显的季节性,四季交替之际及冬季较易发生,并且病程比较长、复发率高,严重影响着患者生命健康及生活质量。


这些因素都会导致胃溃疡发作:



幽门螺杆菌感染
幽门螺杆菌感染是消化性溃疡的最主要诱因。

一是幽门螺杆菌感染胃黏膜,会使胃黏膜发生局部炎症,导致胃酸和胃蛋白酶分泌迅速增多,导致消化系统产生损伤即形成溃疡;

二是一旦出现幽门螺杆菌,人体就会分泌更多的胃液素和胃酸进行对抗,这就会进一步加大幽门螺杆菌对消化系统的侵袭力度。




刺激性饮食
过冷、过热的食物和饮料,浓茶、咖啡、烈酒、刺激性调味品、过于粗糙的食物均可刺激胃黏膜,破坏黏膜屏障。过年亲朋好友齐聚一堂,饭局上难免有些酒来助助兴。再加上很容易顿顿都吃得油腻、吃得过饱,都是损伤胃黏膜的行为。





药物原因

非甾体抗炎药在生活中使用广泛,起到缓解疼痛、治疗风湿性关节炎和预防冠状动脉疾病等多种用途。例如很多老年人会长期服用阿司匹林来预防心血管疾病。


非甾体抗炎药通过抑制环氧化酶发挥作用,从而产生抗炎的作用。不过,这些药物也会通过抑制前列腺素的胃黏膜保护作用,引起非甾体抗炎药诱导的溃疡。





吸烟

吸烟会增加胃酸和胃蛋白酶分泌,增加溃疡发生风险,影响溃疡愈合,促进溃疡复发和增加溃疡并发症发生率。





情绪因素

胃是典型的情绪器官。如果长期压力大、紧张、焦虑、愤怒等负面情绪产生,会对胃液分泌造成一定影响,诱发胃溃疡。






打响节后保“胃”战




改善生活习惯

节后要每餐适量、均衡,饭吃八分饱,注意荤素搭配,远离生冷辛辣油炸食物,减轻肠胃负担。同时尽快调整到正常的规律作息,工作劳逸结合,避免过度劳累和精神紧张。





药物抑制胃酸分泌

消化性溃疡的愈合同胃酸分泌的控制是密不可分的。虽然抑制胃酸无法直接控制溃疡愈合,但可以达到迅速中和胃酸,缓解疼痛,减少胃酸对溃疡刺激的目的。


目前临床上常用的抑制胃酸分泌药物有质子泵抑制剂和H2受体拮抗剂两大类。奥美拉唑是典型的质子泵抑制剂,能有效抑制胃酸的分泌,效果比H2受体拮抗剂更强,且作用持久,对胃黏膜壁细胞有选择性影响,是治疗胃溃疡的首选药物。

根除幽门螺杆菌

即使胃溃疡痊愈,如果没有根除幽门螺杆菌,依旧有很高的复发率。《第六次全国幽门螺杆菌感染处理共识报告(非根除治疗部分)》也指出,无论溃疡是否活动和有无并发症史,均应检测和根除幽门螺杆菌。


目前最常用的治疗方法是三联疗法或四联疗法。三联疗法由标准剂量奥美拉唑加两种抗生素(例如克拉霉素加阿莫西林)组成,四联疗法是再加铋剂,疗程为10-14天。




参考资料

[1]消化性溃疡基层诊疗指南(2023年)

[2]孙甸旻,任雪.奥美拉唑治疗胃溃疡的临床效果及安全性[J].名医,2023,(17):171-173.

[3]夏成凯,吴晓阳.非甾体抗炎药相关胃溃疡的预防及治疗[J].生命的化学,2023,43(08):1202-1207.DOI:10.13488/j.smhx.20230055.


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