消化性溃疡诊断与治疗共识意见(2022年，上海)

176—中华消化杂志2023年3月第43卷第3期Chin J Dig,Mrch2023,Vcd.43,No.3·共识与指南·消化性溃疡诊断与治疗共识意见(2022年，上海)中华消化杂志编辑委员会通信作者：邹多武，上海交通大学医学院附属瑞金医院消化内科，上海200025，Email:zdwrjxh66@sjtu.edu.cm,电话：021-64370045600936；谢渭芬，海军军医大学第二附属医院（上海长征医院）消化内科，上海200003，Email:weifenxie@medmail.com.cm,电话：021-81885341;袁耀宗，上海交通大学医学院附属瑞金医院消化内科，上海200025，Email:yyz28@medmail.com.cn,电话：021-64370045-665242【引用本文】中文：中华消化杂志编辑委员会.消化性溃疡诊断与治疗共识意见(2022年，上海)[J].中华消化杂志，2023,43(3)：176-192.D0I:10.3760/cma.j.cm311367-20230115-00022.英文：Editorial Board of Chinese Journal of Digestion.Consensus on the diagnosis and therapy of peptic ulcer (2022,Shanghai)[J].Chin J Dig,2023,43(3):176-192.D0L:10.3760/cma.j.cm311367-20230115-00022.【摘要】抗生素耐药逐渐增加导致的幽门螺杆菌根除困难，非甾体抗炎药的广泛使用，以及老龄化人口中常见的抗血栓治疗等，使消化性遗荡的诊治较以往更具挑战。为进一步探索符合我国国情的消化性遗荡诊断与治疗新模式，由中华消化杂志编委会组织专家委员会，在《消化性遗疡诊断与治疗规范(2016年，西安)》的基础上，经多次共同讨论并制定了新版共识意见。本共识共30条陈述，分为9个部分，涵盖了消化性遗疡的定义、临床表现、药物治疗、并发症治疗、预防等内容。【关键词】消化性溃疡；共识意见；诊断；治疗D0I:10.3760/cma.j.cm311367-20230115000220Consensus on the diagnosis and therapy of peptic ulcer (2022,Shanghai)Editorial Board of Chinese Journal of DigestionCorresponding author:Zou Duowu,Department of Gastroenterology,Ruijin Hospital,Shanghai JiaotongUniversity School of Medicine,Shanghai 200025,China,Email:zdurjxh66 sjtu.edu.cn,Tel:0086-21-64370045-600936;Xie Weifen,Department of Gastroenterology,the Second Affilliated Hospital (ShanghaiChangzheng Hospital),Naval Medical University,Shanghai 20000B,China,Email:weifenxie@medmnail com.n,Tel:0086-21-81885341;Yuan Yaocong,Department of Gastroenterology,Ruijin Hospital,Shanghai JiaotongUniversity School of Medicine,Shanghai 200025,China,Email:yyz28@medmail.com.cn,Tel:0086-21-64370045-665242[Abstract]Due to the difficult eradication of Helicobacter pylori caused by gradual increase of antibioticresistance,the widespread use of nonsteroidal anti-inflammatory drugs,and the common use of antithrombotictherapy in the aging population,the diagnosis and treatment of peptic ulcer are more challenging than ever.Tofurther explore a new model of diagnosis and treatment of peptic ulcer in accordance with our nationalconditions,the Editorial Board of Chinese Journal of Digestion organized an expert committee to develop a newversion of the consensus based on Standardized diagnosis and treatment of peptic ulcer (2016,Xi'an).Theconsensus has 30 statements,divided into 9 parts,covering the definition,clinical manifestations,pharmacological treatment,treatment of complications,and prevention of peptic ulcer.[Key words]Peptic ulcer;Consensus;Diagnosis;TreatmentD0I:10.3760/cma.j.cm311367-20230115-00022消化性溃疡(peptic ulcer,PU)作为一种常见疾委会制定了基于循证医学证据的《消化性溃疡病诊病在普通人群中的终身患病率为5%~10%，年发断与治疗规范建议(2008，黄山)》21，并分别于2013病率为0.1%-0.3%[山。2008年中华消化杂志编和2016年先后进行了2次修订4。虽然已实施幽