消化性溃疡的常规治疗与中药治疗综述

D. Kiran, A. Rohilla, Naresh Kalra
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摘要

消化性溃疡是一种常见的消化系统疾病,被认为是胃粘膜的炎症反应和坏死病变。消化性溃疡强烈累及胃和十二指肠粘膜肌层。各种因素已被证明与消化性溃疡的发病机制有关,如幽门螺杆菌、非甾体抗炎药(NSAIDs)、酸和胃蛋白酶、遗传和吸烟。常规使用的药物如质子泵抑制剂(PPIs)、组胺(h2)受体拮抗剂、抗酸剂、钾竞争性酸阻滞剂和抗生素已显示出抗溃疡的作用。然而,各种研究表明,在临床前和临床模型中,草药可以通过不同的机制成功治疗消化性溃疡。在实验中,许多草药及其不同部位的提取物,如根、茎、叶、花和种子,显示出有效的溃疡保护作用。这篇综述批判性地讨论了消化性溃疡发病机制中涉及的因素。此外,本综述还强调了草药提取物的潜力。
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A review on conventional and herbal drug approach to peptic ulcer
Peptic ulcer, a common digestive ailment, has been considered as an inflammatory response and necrotic lesions of the gastric mucosa. Peptic ulcer reaches intensely to the mucosal muscle layer in the stomach and duodenum. Various factors have been documented to be involved in the pathogenesis of peptic ulcers like Helicobacter pylori , nonsteroidal anti-inflammatory drugs (NSAIDs), acid and pepsin, genetics, and smoking. The conventional use of drugs like proton pump inhibitors (PPIs), histamine (H 2 ) receptor antagonists, antacids, potassium competitive acid blockers, and antibiotics has shown antiulcer effects. However, various researches have shown that herbal drugs can successfully treat peptic ulcers in preclinical and clinical models by different mechanisms. Many herbal drugs and their extracts from different parts like root, stem, leaf, flower, and seed showed potent ulcerprotective effects in the experimental setup. This review critically discusses the factors involved in the pathogenesis of peptic ulcers. In addition, the potential of herbal drug extracts has been highlighted in the present review.
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