中国慢性胃炎诊治指南(2022年，上海)

中华消化杂志2023年3月第43卷第3期Chin J Dig,Maeh2023,Vol.43,No.3-145-·共识与指南·中国慢性胃炎诊治指南(2022年，上海)中华医学会消化病学分会中华医学会消化病学分会消化系统肿瘤协作组通信作者：房静远，上海交通大学医学院附属仁济医院消化内科，上海200001，Email:jingyuanfang@sjtu.edu.cn,电话：021-63200874【引用本文】中文：中华医学会消化病学分会，中华医学会消化病学分会消化系统肿瘤协作组·中国慢性胃炎诊治指南(2022年，上海)[』].中华消化杂志，2023,43(3)：145-175.D01:10.3760/cmaj.cn311367-20230117-00023.:Chinese Society of Gastroenterology,Cancer Collaboration Group ofChinese Society of Gastroenterology,Chinese Medical Association.Guidelines for diagnosis and treatment ofchronic gastritis in China (2022,Shanghai)[J].Chin J Dig,2023,43(3):145-175.DOI:10.3760/cma.j.cm311367-20230117-00023.【摘要】慢性胃炎是常见病，认识其病因、临床表现，规范其诊斯和治疗，以及预防其癌变一直为临床医师所重视。本指南在过去3次慢性胃炎诊治共识意见的基础上，参考国际上胃黏膜癌前病变处理指南等相关共识指南，制定符合我国国情的慢性胃炎诊断与治疗指南，具有临床价值和可行性。本指南由中华医学会消化病学分会发起，中华医学会消化病学分会消化系统肿瘤协作组主要成员作为召集人和撰写者，遵循国际通用的指南制定原则和方法，在广泛征集消化内科和内科医师意见的基础上，针对有关慢性胃炎的九大类临床问题，有循证依据地给出53项推荐意见，旨在提高我国临床医师对慢性胃炎这一多发病的诊治管理水平。【关键词】慢性胃炎：诊断；治疗；指南D01:10.3760/cma.i.cm311367-20230117-00023Guidelines for diagnosis and treatment of chronic gastritis in China (2022,Shanghai)Chinese Society of Gastroenterology,Cancer Collaboration Group of Chinese Society of Gastroenterology,ChineseMedical AssociationCorresponding author:Fang Jingyuan,Department of Gastroenterology and Hepotdogy,Renji Hospital,Shanghai JiaotongUniversity Schod of Medicine,Shanghai 200001,China,Email:jingyuanfang@siu edu.cn,Tel:0086-21-63200874[Abstract]Chronic gastritis is a common disease,clinicians have always attached importance tounderstanding its etiology and clinical manifestations,standardizing its diagnosis and treatment,and preventingcancer.Based on the consensus opinions on the diagnosis and treatment of chronic gastritis in the past3 editions,and referring to the international consensuses and guidelines on the management of precancerouslesions of gastric mucosa,it is of clinical value and feasibility to formulate the guidelines for the diagnosis andtreatment of chronic gastritis in line with China's national conditions.This guideline was initiated by ChineseSociety of Gastroenterology,with major members of the Cancer Collaboration Group of Chinese Society ofGastroenterology serving as the convenors and authors.Based on the internationally accepted principles andmethods of guideline development,and the extensive collection of opinions from gastroenterologists andphysicians,53 evidence-based recommendations were given for 9 major clinical problems related to chronicgastritis,aiming to improve the diagnosis,treatment and management of chronic gastritis.Key words)Chronic gastritis;Diagnosis;Treatment;GuidelineD01:10.3760/cma.j.cn311367-2023011700023胃炎指各种病因引起的胃黏膜炎症，显微镜下将慢性胃炎分为慢性非娄缩性胃炎(chronic non:表现为组织学炎症。慢性胃炎(chronic gastritis)是atrophic gastritis)和慢性萎缩性胃炎(chronic由多种病因引起的胃黏膜慢性炎症，是主要由幽门atrophic gastritis)。虽然慢性胃炎并非急重症或疑螺杆菌(Helicobacter pylori,H.pylori)感染所引起的难病，但因其系多种胃病或其他器官疾病的基础疾临床常见病。按照慢性胃炎分类的悉尼系统，可病，影响人们的生活质量和生命健康，从而为广大医