首页|雷贝拉唑联合莫沙必利治疗对老年反流性食管炎患者疗效及胃肠功能的影响

雷贝拉唑联合莫沙必利治疗对老年反流性食管炎患者疗效及胃肠功能的影响

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目的 研讨雷贝拉唑联合莫沙必利治疗对老年反流性食管炎(Gastroesophageal Reflux Disease,GERD)患者疗效及胃肠功能的影响.方法 便利选取2022年3月—2024年1月经安溪县中医院确诊为GERD的老年患者78例作为研究对象,按随机数表法分组,每组39例,对照组取莫沙必利单药治疗,观察组取雷贝拉唑及莫沙必利联合治疗,对比两组的用药疗效、用药前后的症状指标、胃肠功能以及用药安全性.结果 观察组用药总有效率(97.44%)高于对照组(79.49%),差异有统计学意义(x2=4.521,P<0.05).用药后,观察组胃排空时间、总反流时间及次数优于对照组,差异有统计学意义(P均<0.05).用药后,观察组胃肠功能指标优于对照组,差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 雷贝拉唑及莫沙必利联合治疗能够提升对老年GERD患者的用药效果,更有效改善患者的症状指标及胃肠功能,并可做到安全用药.
Effect of Rabeprazole Combined with Mosapride on the Efficacy and Gas-trointestinal Function of Elderly Patients with Gastroesophageal Reflux Disease
Objective To study the effects of rabeprazole combined with mosapride on the efficacy and gastrointestinal function of elderly patients with gastroesophageal reflux disease(GERD).Methods A total of 78 cases of elderly pa-tients diagnosed with GERD by Anxi County Hospital of Traditional Chinese Medicine from March 2022 to January 2024 were conveniently selected as study objects,and divided into two groups by combining the method of randomized number table with 39 cases in each group.The control group took mosapride monotherapy,and the observation group took rabeprazole combined with mosapride.Compared the medication efficacy,symptom indexes before and after medi-cation,gastrointestinal function and medication safety of the two groups.Results The total effective rate of medication in the observation group(97.44%)was higher than that of the control group(79.49%),and the difference was statisti-cally significant(x2=4.521,P<0.05).After using the drug,the gastric emptying time,total reflux time and number of times in the observation group were better than those in the control group,and the differences were statistically signifi-cant(both P<0.05).After using the drug,the gastrointestinal function indexes,and the difference was statistically sig-nificant(P<0.05).The percentage of patients who experienced adverse reactions was comparable in both groups,and the difference was not statistically significant(P>0.05).Conclusion Rabeprazole combiend with mosapride can en-hance the effect of medication on elderly GERD patients,improve the symptom indicators and gastrointestinal function of patients more effectively,and can be safe to use.

Geriatric gastroesophageal reflux diseaseRabeprazoleMosaprideGastrointestinal functionSafety of medication

王桂玲、陈哲凌、陈婉玲

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安溪县中医院消化内科,福建安溪 362400

老年反流性食管炎 雷贝拉唑 莫沙必利 胃肠功能 用药安全性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(12)