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1、成都中醫(yī)藥大學(xué)碩士學(xué)位論文中文摘要慢性萎縮性胃炎（ChronicAtrophicGastritis,CAG）是以胃粘膜變薄，固有腺體萎縮或伴有腸上皮化生，異型增生為其病理特點(diǎn)的消化系統(tǒng)常見(jiàn)的疑難病。屬中醫(yī)痞癥，胃脘痛等范疇。因其病因病機(jī)復(fù)雜，病勢(shì)纏綿且易癌變而倍受重視。但目前西醫(yī)治療僅局限于針對(duì)幽門(mén)螺旋桿菌感染和消化不良等對(duì)癥治療，而中醫(yī)藥治療本病時(shí)，具有辨證論治，靈活加減，毒副作用小等特點(diǎn)，尤其是活血化瘀法的應(yīng)用，使中醫(yī)藥對(duì)本病的治療顯示出獨(dú)特優(yōu)勢(shì)。本文從以下幾個(gè)方面闡述CAG從瘀論治的可行性。文獻(xiàn)綜述：回顧中醫(yī)學(xué)對(duì)CAG病名，病因病機(jī)，診治研究情況以及對(duì)血瘀證的認(rèn)識(shí)，闡明了從瘀論治CA
2、G的理論基礎(chǔ)及診治方法。為本課題的臨床研究和導(dǎo)師從瘀論治CAG經(jīng)驗(yàn)的介紹奠定了基礎(chǔ)。臨床研究：根據(jù)導(dǎo)師經(jīng)驗(yàn)，結(jié)合辨證運(yùn)用活血化瘀法治療CAG血瘀證患者45例。結(jié)果顯示，活血化瘀法對(duì)胃鏡示萎縮、腸化、異型增生型CAG有效，并能顯著降低萎縮，腸化，異型增生的積分值，對(duì)臨床癥狀，胃鏡征象及血液流變學(xué)指標(biāo)均有明顯的改善作用（P<0.01，0.05）。結(jié)論：活血化瘀是CAG的治療大法。導(dǎo)師從瘀論治CAG經(jīng)驗(yàn)：從CAG病屬“胃痞”，脾胃氣虛為其本、瘀血阻絡(luò)為其標(biāo)，氣虛血淤、互為因果，辨證辨病相互結(jié)合，活血化瘀、貫徹始終，精于配伍、善用藥對(duì)等方面總結(jié)了導(dǎo)師從瘀論治CAG的經(jīng)驗(yàn)，對(duì)臨床治療CAG有一定的指
3、導(dǎo)意義。關(guān)鍵詞：慢性萎縮性胃炎；活血化瘀法；臨床研究；診治經(jīng)驗(yàn)1成都中醫(yī)藥大學(xué)碩士學(xué)位論文AbstractChronicAtrophicGastritis（CAG）isthinninggastricmucosa,orinherentglandatrophywithintestinalmetaplasia,dysplasiafeaturesforthecommonproblemsofthedigestivesystem.TCMisinSeoul,Epigastralgiaareas.Becauseofcomplexetiologyandpathogenesisofdiseaseandeasy
4、Touchingpotentialcancerandmuchattention.ButonlyconfinedtoWesternmedicinefortreatmentofHelicobacterpyloriinfectionandsymptomatictreatment,suchasdyspepsia,andinthemedicaltreatmentofthisdisease,asyndromedifferentiation,flexible,additionandsubtraction,andthecharacteristicsofdrugsideeffects,especiallyB
5、loodCirculationoftheapplication,Chinesemedicineinthetreatmentofthediseasedemonstrateduniquestrengths.ThispaperdiscussesthefollowingCAGfromthestasisofthefeasibilityofgovernance.LiteratureReview:TheNameofMedicineonCAG,Etiology,Pathogenesis,Diagnosisandtreatmentofbloodstasis,aswellasonawareness,andel
6、aboratedontheTreatmentofStasisCAGfromthetheoreticalbasisandmethodsofdiagnosisandtreatment.Clinicalresearch-orientedtopicsandinstructorsfromtheBloodStasisCAGexperiencelaidthefoundationfortheintroduction.Clinicalstudy:AccordingtoinstructorexperiencewiththeuseSyndromeTreatmentofBloodCirculationCAG45c
7、asesofpatientswithbloodstasis.Theresultsshowedthat,oftheBloodCirculationgastroscopyshowedatrophy,intestinalmetaplasia,dysplasiaCAG-effective,andcouldsignificantlyreduceatrophy,intestinalmetaplasia,dysplasiaofthei
