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1、成都中医药大学硕士学位论文中文摘要慢性萎缩性胃炎（ChronicAtrophicGastritis,CAG）是以胃粘膜变薄，固有腺体萎缩或伴有肠上皮化生，异型增生为其病理特点的消化系统常见的疑难病。属中医痞症，胃脘痛等范畴。因其病因病机复杂，病势缠绵且易癌变而倍受重视。但目前西医治疗仅局限于针对幽门螺旋杆菌感染和消化不良等对症治疗，而中医药治疗本病时，具有辨证论治，灵活加减，毒副作用小等特点，尤其是活血化瘀法的应用，使中医药对本病的治疗显示出独特优势。本文从以下几个方面阐述CAG从瘀论治的可行性。文献综述：回顾中医学对CAG病名，病因病机，诊治研究情况以及对血瘀证的认识，阐明了从瘀论治CA
2、G的理论基础及诊治方法。为本课题的临床研究和导师从瘀论治CAG经验的介绍奠定了基础。临床研究：根据导师经验，结合辨证运用活血化瘀法治疗CAG血瘀证患者45例。结果显示，活血化瘀法对胃镜示萎缩、肠化、异型增生型CAG有效，并能显著降低萎缩，肠化，异型增生的积分值，对临床症状，胃镜征象及血液流变学指标均有明显的改善作用（P<0.01，0.05）。结论：活血化瘀是CAG的治疗大法。导师从瘀论治CAG经验：从CAG病属“胃痞”，脾胃气虚为其本、瘀血阻络为其标，气虚血淤、互为因果，辨证辨病相互结合，活血化瘀、贯彻始终，精于配伍、善用药对等方面总结了导师从瘀论治CAG的经验，对临床治疗CAG有一定的指
3、导意义。关键词：慢性萎缩性胃炎；活血化瘀法；临床研究；诊治经验1成都中医药大学硕士学位论文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
