慢性萎缩性胃炎（CAG）临床研究（毕业学术论文设计）.docVIP

黑龙江中医药大学硕士学位论文 PAGE PAGE 17 目 录 TOC \o 1-1 \h \z HYPERLINK \l _To中文摘要 PAGEREF _To\h 1 HYPERLINK \l _To英文摘要 2 HYPERLINK \l _To前 言 PAGEREF _To\h 3 HYPERLINK \l _To综 述 PAGEREF _To\h 5 HYPERLINK \l _To临床研究 PAGEREF _To\h 18 HYPERLINK \l _To讨 论 PAGEREF _To\h 27 HYPERLINK \l _To结 论 PAGEREF _To\h 34 HYPERLINK \l _To致 谢 PAGEREF _To\h 35 HYPERLINK \l _To参考文献 PAGEREF _To\h 36 中文摘要 慢性萎缩性胃炎（CAG）是以胃粘膜变薄，固有腺体萎缩或伴有肠上皮化生和异型增生为病理特点的消化系统的多发病及疑难病。 本课题观察以健脾益气，活血化瘀为主，辅以疏肝清热化湿为原则，方用自拟养胃复元汤治疗气虚血瘀挟湿型CAG的临床疗效。所选128例患者均经纤维胃镜及病理学活检确诊为CAG且HP 阳性，随即分为两组，一组为养胃复元汤治疗组74例（治疗组），一组为三九胃泰和维霉素治疗组54例（对照组），从临床症状、胃镜和病理学活检的改善及幽门螺杆菌（HP）的清除及血清胃泌素观测进行比较观察。 结果表明症状改善总有效率治疗组为88.3%，对照组为69.8%；胃镜改善总有效率治疗组为79.7%，对照组为64.8%；胃粘膜病理组织改善总有效率治疗组为74.3%，对照组为57.4%；杀灭HP总有效率治疗组为86.5%，对照组为57.4% ; 治疗组使A型CAG患者升高的血清胃泌素基本恢复正常且优于对照组。最后两组总疗效治疗组为91.9%，对照组为66.7%，经统计学处理两组有显著差异（P0.01），说明中药养胃复元汤对气虚血瘀挟湿型CAG疗效确切，对CAG的症状、病理、胃镜改善及杀灭HP和恢复血清胃泌素均明显优于对照组。 关键词： 慢性萎缩性胃炎 中医药 养胃复元汤 临床观察 ABSTRACT Chronic atrophic gastritis is a common digestive systematic disease that gastritis becomes thinner, appropriate organization atrophied ,or having the change of bowel,unmethodical growing are its flavor. The topic observe that invigorating Spleen and stomach benefiting is primary，by YangWeiFuYuanTang remedy the lack of tinge and uncaxiative blood of chronic atrcphic gastritis of clinic effect.In clinical observation ,put the patients into two proups .One group of seventy-four-person ,the one is confront is confront group of fifty-four-person,all are diagnosed by gastroscopy and pathology. The remedy result shows, YangWeiFuYuanTang is better than the confront group on the underneath aspects :clinical symptom,gastroscopy,pathology,and killing H.pylori.It is a very available kind of mechicine. Key words： Chronic atrophic gastritis Chinese traditional medici