1. Elderly patients with chronic active gastritis with Helicobacter pylori infection, or long-term use of non-steroidal anti-inflammatory drugs ( NSAIDs) should be considered for H. pylori eradication therapy. The eradication plan recommends the use of bismuth agent quadruple plan.

　　The bismuth agent quadruple scheme is based on bismuth agent (commonly used potassium bismuth citrate) and PPI (omeprazole, esomeprazole, pantoprazole, lansoprazole, rabe On the basis of razole), two antibiotics were selected, metronidazole + tetracycline or amoxicillin + levofloxacin.

　　 2. Mucosal protection is a common treatment method for chronic gastritis in the elderly, and the mucosal protection should be strengthened for patients taking NSAIDs for a long time or accompanied by bile reflux.

　　Stomach mucosa protectors include bismuth potassium citrate, colloidal bismuth pectin, bismuth subcarbonate, misoprostol, sucralfate, gefaride, etc.

　　3. For the main symptoms of abdominal pain and burning sensation in the upper abdomen, especially for patients with gastric mucosal erosion, acid inhibitors or antacids can be selected according to the severity of symptoms.

Pantoprazole, rabeprazole, alumina, magnesium hydroxide, bismuth subcarbonate (bismuth subcarbonate), Weishuping, Weizhiping, Starch Shu and Gaiwei are equal.

　　 4. For patients with upper abdominal fullness, nausea or vomiting as the main symptoms, prokinetic drugs can be selected for treatment

　　promoting drugs are domperidone, mosapride, ito Billy, Sinibilly, etc.

　　 6. Digestive enzyme preparations can be used to treat elderly patients with digestive insufficiency symptoms such as upper abdominal fullness and anorexia related to eating.

　　Digestive enzyme preparations Tong (pancreatic enzyme enteric-coated capsules), Daji (composite digestive enzyme capsules), Mi Te (composite azimide enteric-coated tablets) and Kang Bishen (M. aspergillus pancreatic enzyme tablets), etc.

　　5. Elderly patients with chronic gastritis who have symptoms of dyspepsia and obvious mental and psychological factors can be treated with antidepressants or anxiolytics

　　Antidepressants include venlafaxine and naphthalene Fazodone, etc.; anti-anxiety drugs include diazepam, chlordiazepoxide , Desoxymethyl diazepam, nitro diazepam, fluazepam, meprobamate, caripridol, etc.

　　 8. Antioxidants can be used for the treatment of chronic gastritis in the elderly.

　　Antioxidants include β-carotene, vitamin C, vitamin E, folic acid and other antioxidant vitamins and zinc and selenium.

　　9. Chinese medicine can be used for the treatment of chronic gastritis in the elderly

　　Chinese medicines include Jiazuo Zuojin pills, Qizhiweitong granules, etc.

　　10. Elderly patients with abdominal pain, upper abdominal fullness, nausea and vomiting or other indigestion symptoms can be treated with a combination of drugs.