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--> 00:00.465\n和。\n\n00:02.565 --> 00:07.414\n和大家一起探讨一个临床上非常常见啊，\n\n00:07.414 --> 00:10.614\n但是又具有挑战性的疾病，\n\n00:11.364 --> 00:15.215\n慢性萎缩性胃炎的中医创新治疗。\n\n00:16.153 --> 00:17.653\n那我们的主题呢，\n\n00:17.653 --> 00:19.253\n是主要聚焦在。\n\n00:20.271 --> 00:21.371\n中药疗法上面。\n\n00:22.816 --> 00:26.666\n然后重重点是探讨康复的新路径。\n\n00:27.662 --> 00:29.961\n那希望通过今天的交流，\n\n00:30.312 --> 00:34.462\n能够为大家在临床上处理慢性萎缩性胃炎，\n\n00:34.762 --> 00:38.962\n提供一些新的思路和实用的方案。\n\n00:42.179 --> 00:42.429\n然后，\n\n00:42.429 --> 00:47.679\n今天主要围绕这个四个板块来进行交流。\n\n00:48.179 --> 00:49.229\n第一个方面呢，\n\n00:49.229 --> 00:52.429\n是疾病的认知和挑战。\n\n00:53.028 --> 00:57.278\n那先搞清楚我们面对的是一个什么样的疾病，\n\n00:57.629 --> 00:58.979\n难点在哪里。\n\n00:59.578 --> 01:00.104\n然后，\n\n01:00.104 --> 01:03.629\n第二个方面是中医的辨证论治。\n\n01:04.412 --> 01:07.061\n这是我们中医治疗的根本。\n\n01:07.884 --> 01:10.783\n也是个体化治疗的精髓。\n\n01:11.884 --> 01:13.333\n第三个方面是。\n\n01:14.504 --> 01:16.105\n创新中药疗法。\n\n01:17.202 --> 01:18.476\n这是今天呢，\n\n01:18.476 --> 01:20.402\n我们要重点分享的内容。\n\n01:21.286 --> 01:23.636\n那看一下传统的中药在。\n\n01:24.751 --> 01:27.202\n现代的循证医学背景下，\n\n01:27.552 --> 01:30.952\n能够焕焕发出什么样的一个新的价值？\n\n01:31.952 --> 01:36.302\n最后一个方面是关于综合治疗和预防。\n\n01:37.674 --> 01:38.524\n药物呢？\n\n01:38.874 --> 01:40.774\n治疗只是一个手段，\n\n01:41.073 --> 01:44.573\n那综合的管理才是长久之道。\n\n01:48.926 --> 01:49.000\n好，\n\n01:49.000 --> 01:51.325\n我们先进入第一个板块，\n\n01:51.325 --> 01:53.926\n就是疾病的认知与挑战。\n\n01:54.959 --> 01:55.135\n嗯，\n\n01:55.135 --> 01:56.535\n慢性萎缩性胃炎呢，\n\n01:56.535 --> 01:57.260\n顾名思义，\n\n01:57.260 --> 02:04.660\n是一种以胃黏膜上皮和腺体萎缩为特征的慢性疾病。\n\n02:05.791 --> 02:06.491\n这个疾病呢，\n\n02:06.491 --> 02:09.692\n病情迁延治疗的挑战非常大，\n\n02:10.091 --> 02:13.391\n需要我们医患共同努力，\n\n02:13.591 --> 02:18.141\n才能够为患者争取到最好的一个预后。\n\n02:20.000 --> 02:23.250\n那具体什么是慢性萎缩性胃炎，\n\n02:23.800 --> 02:27.050\n我们从三个方面来认识它。\n\n02:28.279 --> 02:29.979\n第一看一下它的定义，\n\n02:30.729 --> 02:35.979\n慢性萎缩性胃炎是一种以胃黏膜固有腺体萎缩，\n\n02:36.179 --> 02:39.229\n数量减少为主要病理改变的。\n\n02:40.449 --> 02:42.250\n慢性炎症性的疾病，\n\n02:42.949 --> 02:43.975\n简单的说呢，\n\n02:43.975 --> 02:45.750\n就是胃粘膜变薄了，\n\n02:45.850 --> 02:48.399\n腺体也同时减少了。\n\n02:49.500 --> 02:52.100\n第二个方面是病理特征，\n\n02:52.500 --> 02:53.600\n胃粘膜变薄，\n\n02:53.600 --> 02:54.750\n腺体萎缩，\n\n02:55.300 --> 03:00.050\n有的还伴有腺上皮的化生或者是不典型增生。\n\n03:00.899 --> 03:02.175\n那这些改变呢，\n\n03:02.175 --> 03:07.699\n都是我们在胃镜下和病理报告上面经常能看到的内容。\n\n03:09.759 --> 03:10.608\n第三个方面，\n\n03:10.858 --> 03:11.759\n流行病学，\n\n03:12.358 --> 03:18.809\n慢性萎缩性胃炎在慢性胃炎中的占比大概是10%.20%，\n\n03:19.759 --> 03:20.434\n并且呢，\n\n03:20.434 --> 03:23.958\n发病率随着年龄的增长是有所升高的。\n\n03:25.026 --> 03:25.576\n可以说呢，\n\n03:25.576 --> 03:28.526\n这是我们消化科门诊非常常见的疾病，\n\n03:28.876 --> 03:29.600\n几乎呢，\n\n03:29.600 --> 03:31.126\n大家每天都能够遇到。\n\n03:33.667 --> 03:37.216\n那么慢性萎缩性胃炎的治疗难点在哪里？\n\n03:37.466 --> 03:40.466\n那我们总结了这个四大挑战。\n\n03:41.656 --> 03:43.656\n第一个方面是病因复杂。\n\n03:45.132 --> 03:45.757\n自身免疫，\n\n03:45.757 --> 03:47.182\n遗传、环境，\n\n03:47.382 --> 03:48.082\n饮食，\n\n03:48.533 --> 03:50.483\n包括幽门螺杆菌等等。\n\n03:51.649 --> 03:53.899\n多种因素共同作用，\n\n03:54.248 --> 03:56.074\n导致我们很难呢，\n\n03:56.074 --> 04:00.348\n从用一个方案面面俱到的来解决这个问题，\n\n04:01.199 --> 04:02.548\n第二个方面是。\n\n04:03.516 --> 04:04.516\n病程迁延，\n\n04:05.216 --> 04:07.615\n这个病发展非常的缓慢，\n\n04:07.615 --> 04:08.615\n病程很长，\n\n04:09.115 --> 04:11.565\n容易反复的发作，\n\n04:11.815 --> 04:14.315\n给患者带来长期的困扰。\n\n04:15.167 --> 04:16.917\n也增加了治疗的难度。\n\n04:18.282 --> 04:21.932\n第三个方面就是西医的局限性。\n\n04:22.779 --> 04:23.304\n目前呢，\n\n04:23.304 --> 04:27.029\n西医治疗主要针对症状和并发症，\n\n04:27.529 --> 04:30.429\n缺乏能够有效的逆转。\n\n04:31.239 --> 04:32.190\n萎缩的药物。\n\n04:33.165 --> 04:33.816\n并且呢，\n\n04:33.865 --> 04:38.066\n长期用药的副作用也是不容忽视的一个问题。\n\n04:38.915 --> 04:41.566\n第四个方面是癌变的风险。\n\n04:42.380 --> 04:43.679\n那慢性萎缩性胃炎呢，\n\n04:43.679 --> 04:46.380\n是公认的胃癌的癌前疾病。\n\n04:47.242 --> 04:51.742\n怎么样去有效的干预、阻断它向胃癌发展，\n\n04:51.941 --> 04:55.592\n是临床治疗的核心挑战。\n\n05:03.277 --> 05:05.201\n那么面对这些困境呢，\n\n05:05.201 --> 05:06.976\n西医有西医的优势，\n\n05:07.527 --> 05:09.777\n那么中医的思维呢，\n\n05:10.027 --> 05:14.002\n能够带来什么样的不同的视角呢？\n\n05:14.002 --> 05:14.451\n那么，\n\n05:14.451 --> 05:16.377\n我们进入第二个板块，\n\n05:16.377 --> 05:19.277\n就是关于中医的辨证论治。\n\n05:19.927 --> 05:21.377\n那中医认为呢，\n\n05:21.427 --> 05:26.927\n慢性萎缩性胃炎的发生跟脾胃功能失调是密切相关的。\n\n05:27.527 --> 05:28.976\n通过辨证论治，\n\n05:29.027 --> 05:33.177\n可以针对不同的症型进行个体化的治疗。\n\n05:33.970 --> 05:35.420\n做到标本兼治。\n\n05:38.845 --> 05:43.744\n那慢性萎缩性胃炎的中医的核心病机是什么呢，\n\n05:43.894 --> 05:44.545\n就是？\n\n05:45.895 --> 05:46.246\n在于。\n\n05:47.171 --> 05:48.122\n本需标识。\n\n05:49.875 --> 05:50.750\n那本虚呢，\n\n05:50.750 --> 05:52.475\n在于脾胃的虚弱，\n\n05:52.475 --> 05:53.774\n运化失常，\n\n05:54.475 --> 06:01.325\n标识则为气滞湿阻、热郁血瘀等病理产物。\n\n06:02.131 --> 06:06.381\n居积聚在这个胃那，\n\n06:06.930 --> 06:08.705\n随着这个病情的进展呢，\n\n06:08.705 --> 06:09.580\n越积越多。\n\n06:11.359 --> 06:13.033\n临床上常见的症型呢，\n\n06:13.033 --> 06:22.183\n包括脾胃湿热症、肝胃不和症、寒热错杂症、脾气虚症、脾胃虚寒症等等。\n\n06:22.834 --> 06:23.209\n嗯，\n\n06:23.209 --> 06:24.408\n辨证的关键呢，\n\n06:24.408 --> 06:26.734\n在于通过望闻问切。\n\n06:27.652 --> 06:28.701\n四诊合参。\n\n06:30.481 --> 06:34.932\n综合的分析患者的症状、体征、舌象、脉象，\n\n06:35.432 --> 06:38.731\n然后准确的判断阵型，\n\n06:39.032 --> 06:41.981\n为用药提供相应的依据。\n\n06:44.454 --> 06:47.854\n那我们看一下第一种常见的阵型。\n\n06:48.898 --> 06:50.648\n脾胃湿热症，\n\n06:51.447 --> 06:52.847\n那这一类患者呢？\n\n06:52.847 --> 06:53.798\n它有什么特点呢？\n\n06:54.571 --> 06:54.821\n嗯，\n\n06:54.821 --> 06:57.971\n主要的症状包括胃脘胀满。\n\n06:58.760 --> 07:00.059\n口中比较黏腻。\n\n07:01.178 --> 07:02.578\n舌苔比较黄腻，\n\n07:03.227 --> 07:07.528\n治疗的原则就是清热利湿，\n\n07:07.977 --> 07:09.127\n理气和中，\n\n07:09.328 --> 07:13.477\n恢复胃脾胃的轻身。\n\n07:14.437 --> 07:15.687\n着降的功能。\n\n07:17.089 --> 07:19.440\n然后代表的方剂是脸谱饮加减。\n\n07:21.109 --> 07:27.809\n常用的药物包括黄连、厚朴、石菖蒲法、半夏、芦根等等。\n\n07:28.605 --> 07:29.506\n然后临床上呢，\n\n07:29.506 --> 07:33.256\n可以相应的去根据患者的情况进行加减。\n\n07:35.277 --> 07:36.451\n第二种症型呢，\n\n07:36.451 --> 07:38.252\n是肝胃不和啊。\n\n07:38.252 --> 07:39.201\n这一类患者呢，\n\n07:39.201 --> 07:45.377\n他是他的胃痛跟情绪是关关系非常密切的一些患者呢，\n\n07:45.377 --> 07:46.402\n一生气一紧张，\n\n07:46.402 --> 07:48.027\n胃就容易疼。\n\n07:49.019 --> 07:49.420\n通常呢，\n\n07:49.420 --> 07:53.519\n还伴有胸闷、嗳气、烦躁易怒的这种表现。\n\n07:54.519 --> 07:54.845\n嗯，\n\n07:54.845 --> 07:57.269\n治疗的原则就是疏肝和胃。\n\n07:58.946 --> 08:00.446\n然后疏肝解郁，\n\n08:00.497 --> 08:01.596\n和胃降逆。\n\n08:02.562 --> 08:04.212\n好像调和肝脾，\n\n08:04.661 --> 08:06.861\n缓解气机。\n\n08:07.933 --> 08:12.634\n预制的这样的一个治法代表的方剂就是。\n\n08:13.805 --> 08:16.705\n柴胡疏肝散进行加减。\n\n08:17.881 --> 08:18.131\n嗯，\n\n08:18.131 --> 08:20.131\n常用的药物包括柴胡。\n\n08:21.135 --> 08:25.434\n佛手、川芎、香附、郁金、陈皮等等。\n\n08:25.934 --> 08:26.684\n临床上呢，\n\n08:26.684 --> 08:28.809\n也可以根据患者有没有胃痛啊，\n\n08:28.809 --> 08:29.535\n有没有嗳气，\n\n08:30.135 --> 08:31.734\n相应的进行加减。\n\n08:33.270 --> 08:36.869\n第三种症型是脾胃虚寒症。\n\n08:38.247 --> 08:39.398\n这类患者呢，\n\n08:39.598 --> 08:40.598\n腹痛隐隐，\n\n08:40.747 --> 08:42.947\n然后喜温喜按，\n\n08:43.297 --> 08:44.672\n就是用手按着，\n\n08:44.672 --> 08:46.547\n然后用热水袋敷。\n\n08:47.512 --> 08:48.562\n会舒服一点。\n\n08:49.531 --> 08:49.757\n嗯，\n\n08:49.757 --> 08:51.632\n它的治疗的原则是。\n\n08:52.677 --> 08:53.677\n温补脾胃，\n\n08:53.978 --> 08:56.278\n散寒止痛啊，\n\n08:56.578 --> 08:58.127\n然后祛除寒邪，\n\n08:58.578 --> 08:59.978\n代表方剂是。\n\n09:01.056 --> 09:02.731\n黄芪建中汤啊，\n\n09:02.731 --> 09:05.606\n或者是附子理中丸加减。\n\n09:11.398 --> 09:13.322\n那说完了这个辨证分型，\n\n09:13.322 --> 09:17.598\n我们进入到这个创新中药疗法的这个这一方面，\n\n09:18.197 --> 09:21.098\n大家可能会说中医治疗胃病，\n\n09:21.098 --> 09:23.172\n它不是老传统了吗？\n\n09:23.172 --> 09:24.247\n那心在哪里。\n\n09:24.906 --> 09:25.731\n那新的点呢，\n\n09:25.731 --> 09:27.206\n就在于，\n\n09:28.206 --> 09:30.331\n这个传统中药方剂呢，\n\n09:30.331 --> 09:34.307\n在慢性萎缩性胃炎的治疗中焕发了新生。\n\n09:35.409 --> 09:36.409\n现代研究呢，\n\n09:36.409 --> 09:40.809\n证实他们多靶点多途径的疗效优势。\n\n09:41.309 --> 09:42.809\n这不是经验医学，\n\n09:42.809 --> 09:46.510\n是有循证医学的数据来进行支撑的，\n\n09:46.760 --> 09:48.434\n能为我们患者的治疗呢，\n\n09:48.434 --> 09:49.659\n带来了新的希望。\n\n09:51.390 --> 09:54.390\n那我们看这个三个经典的方剂在。\n\n09:55.575 --> 09:58.776\n这个慢性萎缩性胃炎的治疗当中的新的应用，\n\n09:59.375 --> 10:01.676\n第一个是保和丸。\n\n10:03.421 --> 10:04.346\n它主要呢，\n\n10:04.346 --> 10:07.372\n传统是用于这个消食。\n\n10:08.874 --> 10:10.523\n然后导致方面的，\n\n10:10.823 --> 10:13.299\n那患者吃吃撑了以后呢，\n\n10:13.299 --> 10:14.723\n可以用这个药。\n\n10:14.874 --> 10:17.573\n但是新的现代研究发现呢，\n\n10:18.023 --> 10:24.773\n保和丸也可以显著的改善慢性萎缩性胃炎患者的腹痛的症状，\n\n10:24.973 --> 10:27.424\n并且疗效要优于奥美拉唑。\n\n10:29.021 --> 10:29.846\n第二个呢，\n\n10:29.846 --> 10:31.471\n是附子理中丸。\n\n10:32.351 --> 10:32.552\n嗯，\n\n10:32.552 --> 10:33.502\n单药治疗呢，\n\n10:33.502 --> 10:34.952\n就能够有效的改善。\n\n10:35.892 --> 10:41.041\n这个患者的腹胀反酸烧心的这种症状，\n\n10:42.142 --> 10:42.517\n嗯，\n\n10:42.517 --> 10:44.341\n第三个是胃灵颗粒，\n\n10:44.942 --> 10:51.692\n单药治疗六个月就可以改善胃黏膜的充血水肿的这种情况，\n\n10:51.992 --> 10:55.041\n能够有效的促进粘膜的修复。\n\n10:57.489 --> 11:01.090\n那么在实际的临床工作当中呢，\n\n11:01.140 --> 11:02.239\n我们怎么样去？\n\n11:03.245 --> 11:06.995\n快速的选择就是相应的合适的药物。\n\n11:07.820 --> 11:08.719\n那我们可以呢。\n\n11:09.471 --> 11:11.122\n有一个这样的相应的指南。\n\n11:12.260 --> 11:18.359\n不同的类型选择不同的这个药物方剂进行治疗，\n\n11:19.010 --> 11:20.010\n包括这个。\n\n11:21.049 --> 11:21.349\n嗯，\n\n11:21.650 --> 11:23.250\n脾虚气滞型的。\n\n11:24.036 --> 11:26.637\n推荐使用香砂六君丸、胃舒颗粒。\n\n11:27.481 --> 11:31.781\n脾胃虚寒型推荐使用香砂理中丸等等，\n\n11:31.880 --> 11:36.181\n包括肝胃不和型和这个湿热瘀阻型，\n\n11:36.181 --> 11:40.281\n都可以有相应的一些代表的药物进行治疗。\n\n11:42.158 --> 11:45.333\n那我们简单的了解一下中药呢，\n\n11:45.333 --> 11:48.109\n促进粘膜修复的具体的机制。\n\n11:49.023 --> 11:51.323\n它通过减轻炎症，\n\n11:51.674 --> 11:52.573\n然后呢。\n\n11:53.530 --> 11:57.830\n能够显著的降低胃黏膜水肿的一个情况。\n\n11:59.317 --> 11:59.768\n另外呢，\n\n11:59.768 --> 12:02.218\n它可以促进粘膜的修复，\n\n12:02.817 --> 12:04.293\n然后最终呢，\n\n12:04.293 --> 12:09.168\n能够明显的缓解患者的相应的临床症状，\n\n12:09.468 --> 12:11.418\n提高患者的生活质量。\n\n12:14.322 --> 12:18.072\n这就是中药多靶点多途径的治疗的优势。\n\n12:18.771 --> 12:19.421\n最后呢，\n\n12:19.421 --> 12:20.171\n我们看一下。\n\n12:21.291 --> 12:23.190\n关于综合治疗和预防，\n\n12:23.640 --> 12:24.866\n那我们要强调呢，\n\n12:24.866 --> 12:26.541\n慢性萎缩性胃炎的治疗，\n\n12:26.541 --> 12:28.741\n它不是一朝一夕就能够完成的，\n\n12:29.091 --> 12:32.741\n不能够只依依赖于药物需要呢。\n\n12:33.091 --> 12:35.041\n结合生活方式的调整。\n\n12:35.851 --> 12:36.252\n然后，\n\n12:36.252 --> 12:36.776\n同时呢，\n\n12:36.776 --> 12:40.802\n帮助患者建立战胜疾病的信心，\n\n12:41.252 --> 12:44.101\n这样才能够取得最佳的疗效，\n\n12:44.452 --> 12:47.002\n然后防止疾病的复发。\n\n12:49.130 --> 12:50.429\n那中西医结合呢，\n\n12:50.429 --> 12:53.830\n是我们治疗慢性萎缩性胃炎的最佳的策略。\n\n12:54.583 --> 12:54.883\n嗯，\n\n12:55.033 --> 12:57.583\n怎么样去结合啊？\n\n12:58.133 --> 12:59.984\n有三个层面。\n\n13:00.633 --> 13:02.783\n第一个方面是快速的抑菌。\n\n13:03.752 --> 13:06.052\n对于幽门螺杆菌感染的患者呢，\n\n13:06.151 --> 13:08.226\n采用四联疗法啊，\n\n13:08.226 --> 13:10.401\n可以快速有效的根除细菌，\n\n13:10.952 --> 13:12.351\n控制感染源，\n\n13:12.601 --> 13:14.026\n这是西药的优势，\n\n13:14.026 --> 13:15.851\n我们要利用好。\n\n13:16.452 --> 13:18.651\n第二个方面是调理体质，\n\n13:19.101 --> 13:21.502\n在根除幽门螺杆菌以后。\n\n13:22.557 --> 13:25.507\n采用中药治疗进行长期的调理，\n\n13:25.757 --> 13:27.757\n可以改善患者的脾胃功能。\n\n13:30.075 --> 13:32.226\n第三个方面是减毒增效，\n\n13:32.625 --> 13:33.500\n那中药呢，\n\n13:33.500 --> 13:35.976\n可以减轻西药的胃肠道的副作用，\n\n13:36.325 --> 13:36.976\n同时呢，\n\n13:36.976 --> 13:38.375\n通过多靶点的作用。\n\n13:39.854 --> 13:41.255\n增强整体的疗效，\n\n13:41.554 --> 13:44.405\n实现1+1>2的一个效果。\n\n13:47.510 --> 13:47.784\n嗯，\n\n13:47.784 --> 13:48.809\n药物之外呢，\n\n13:48.809 --> 13:52.210\n胃的健康离不开日常的呵护，\n\n13:52.559 --> 13:54.809\n那我们总结了这个。\n\n13:55.861 --> 13:57.611\n四个方面的一个内容，\n\n13:58.062 --> 14:01.262\n第一个方面是要规律的饮食啊，\n\n14:01.312 --> 14:04.687\n定时定量少少食多餐啊，\n\n14:04.687 --> 14:05.911\n避免暴饮暴食，\n\n14:06.262 --> 14:08.262\n能够减轻胃的负担。\n\n14:09.012 --> 14:10.911\n第二个方面是清淡饮食，\n\n14:11.211 --> 14:13.961\n要避免一些辛辣刺激的食物，\n\n14:14.312 --> 14:16.661\n选择容易消化的食物。\n\n14:17.729 --> 14:18.130\n嗯，\n\n14:18.130 --> 14:20.179\n第三个方面是情绪的管理。\n\n14:20.960 --> 14:23.510\n我们需要患者保持心情的舒畅，\n\n14:24.010 --> 14:29.260\n避免精神紧张抑郁这些不良的情绪刺激，\n\n14:29.760 --> 14:33.710\n然后防止肝气郁结影响到脾胃的功能。\n\n14:34.510 --> 14:35.536\n最后一个方面呢，\n\n14:35.536 --> 14:37.060\n是需要适当的运动。\n\n14:37.260 --> 14:39.260\n那适当的运动能够。\n\n14:40.950 --> 14:42.400\n促进胃肠的蠕动，\n\n14:42.750 --> 14:44.599\n改善消化功能。\n\n14:46.197 --> 14:50.596\n最后能总结一下今天的核心的观点啊。\n\n14:51.786 --> 14:52.361\n第一个呢，\n\n14:52.361 --> 14:53.812\n就是慢性胃炎，\n\n14:53.812 --> 14:56.836\n慢性萎缩性胃炎是可防可治的。\n\n14:57.086 --> 14:58.437\n通过积极的。\n\n14:59.419 --> 15:01.619\n治疗和生活方式的干预，\n\n15:01.770 --> 15:03.570\n可以有效的控制病情，\n\n15:04.169 --> 15:06.419\n逆转一部分的病理的改变，\n\n15:06.719 --> 15:08.369\n降低癌变的风险。\n\n15:09.153 --> 15:09.828\n我们自己呢，\n\n15:09.828 --> 15:11.228\n首先要建立信心，\n\n15:11.228 --> 15:13.403\n然后把信心传递给患者。\n\n15:14.302 --> 15:14.677\n嗯，\n\n15:14.677 --> 15:15.552\n第二个方面，\n\n15:15.603 --> 15:18.252\n个体化的治疗是关键。\n\n15:19.252 --> 15:20.177\n辨证论治呢，\n\n15:20.177 --> 15:21.552\n是中医的精髓。\n\n15:22.153 --> 15:26.453\n要根据患者的具体情况制定个体化的治疗方案，\n\n15:26.653 --> 15:28.502\n千万不要盲目的用药。\n\n15:29.252 --> 15:29.877\n第三，\n\n15:29.877 --> 15:31.353\n定期复查很重要。\n\n15:32.012 --> 15:36.562\n慢性萎缩性胃炎的患者应该应该根据这个医嘱，\n\n15:36.762 --> 15:39.062\n定期的进行胃镜的复查，\n\n15:39.411 --> 15:41.461\n动态的观察病情的变化，\n\n15:41.611 --> 15:43.262\n及时的调整。\n\n15:44.067 --> 15:46.067\n治疗方案就是长期。\n\n15:47.192 --> 15:48.192\n管理的一个保障，\n\n15:48.892 --> 15:49.791\n第四呢，\n\n15:49.992 --> 15:51.442\n科研未来方向。\n\n15:52.380 --> 15:56.729\n那深入研究中药有效成分的作用机制，\n\n15:57.030 --> 16:01.729\n开发剂型更优、靶向性更强的现代中药，\n\n16:01.830 --> 16:05.330\n是我们未来的重要的一个方向，\n\n16:05.780 --> 16:09.880\n也是我们这个临床工作者的一个重要的使命。\n\n16:12.531 --> 16:16.431\n那希望今天的分享能够对于大家的临床工作有所启发。\n\n","v0247cg10004d9k07u27dldbfjv6scsg",986,961,"2026-07-28 00:02:40","2026-08-07 08:30:00",[30],{"menuId":31,"menuName":32,"parentId":17,"orderNum":33,"path":34,"component":35,"isFrame":36,"isCache":37,"menuType":38,"visible":20,"status":17,"createDept":6,"remark":15,"createTime":39,"children":40,"columnImage":41,"columnLogo":42,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":43,"seoKeywords":44,"seoDescription":45,"contentNum":6,"promotionalPoster":46,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":47,"routerPath":34,"componentInfo":35},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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