首页|铝碳酸镁+艾司奥美拉唑+幽门螺杆菌根治方案对胃溃疡患者的治疗效果及胃肠激素水平的影响

铝碳酸镁+艾司奥美拉唑+幽门螺杆菌根治方案对胃溃疡患者的治疗效果及胃肠激素水平的影响

扫码查看
目的 探究铝碳酸镁+艾司奥美拉唑+幽门螺杆菌(Helicobacter Pylori,Hp)根治方案对胃溃疡患者的治疗效果及对胃肠激素水平的影响.方法 便利选取安溪县中医院于2021年8月—2023年10月收治的86例胃溃疡患者作为研究对象,依据随机数表法分为两组,各43例.两组均接受Hp根治方案治疗,在此基础上,对照组予以艾司奥美拉唑治疗,观察组予以铝碳酸镁+艾司奥美拉唑治疗,对比两组治疗效果、症状改善时间、胃肠激素水平以及用药安全性.结果 观察组治疗总有效率(95.35%)高于对照组(81.40%),差异有统计学意义(x2=4.073,P=0.043).观察组Hp根治时间及溃疡愈合时间均短于对照组,差异有统计学意义(P均<0.05).治疗后,观察组3项胃肠激素(胃泌素-17、胃蛋白酶原Ⅰ与胃蛋白酶原Ⅱ)指标值均优于对照组,差异有统计学意义(P均<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 铝碳酸镁+艾司奥美拉唑+Hp根治方案用于胃溃疡患者的治疗效果较好,可有效调节胃肠激素水平,同时改善患者症状,用药安全性较高.
Therapeutic Effect of Magnesium Aluminum Carbonate+Esomeprazole+Helicobacter Pylori Radical Treatment Regimen on Patients with Gastric Ulcer and the Effect on Their Gastrointestinal Hormone Levels
Objective To investigate the therapeutic effect of magnesium aluminum carbonate+esomeprazole+Heli-cobacter pylori(Hp)radical treatment regimen on patients with gastric ulcers and the effect on their gastrointestinal hormone levels.Methods A total of 86 patients with gastric ulcer admitted to Anxi County Hospital of Traditional Chi-nese Medicine from August 2021 to October 2023 were conveniently selected as the study subjects,and were divided into two groups of 43 patients each according to the random number table method.Both groups were treated with Hp radical treatment program,on this basis,the control group was treated with esomeprazole,and the observation group was treated with magnesium aluminum carbonate+esomeprazole.Comparison of the two groups'therapeutic effect,symptom improvement time,gastrointestinal hormone level and drug safety.Results The total effective rate of treat-ment in the observation group(95.35%)was higher than that in the control group(81.40%),and the difference was sta-tistically significant(x2=4.073,P=0.043).The Hp eradication time and ulcer healing time of the observation group were shorter than those of the control group,and the differences were statistically significant(both P<0.05).After treat-ment,three gastrointestinal hormones(gastrin-17,pepsinogen I and pepsinogen II)index values of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).Com-parison of the incidence rate of adverse reaction between the two groups,the difference was not statistically significant(P>0.05).Conclusion Magnesium aluminum carbonate+esomeprazole+Hp radical treatment program for gastric ul-cer patients with better therapeutic effect,can effectively regulate the level of gastrointestinal hormones,and at the same time improve the patient's symptoms,the use of drugs with high safety.

Gastric ulcerMagnesium aluminum carbonateEsomeprazoleHelicobacter pyloriGastrointestinal hormone

王桂玲、陈哲凌、陈婉玲

展开 >

安溪县中医院消化内科,福建泉州 362400

胃溃疡 铝碳酸镁 艾司奥美拉唑 幽门螺杆菌 胃肠激素

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(15)