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铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴出血患者的临床效果

Clinical effect of Aluminum Magnesium Marbonate combined with Es-omeprazole in the treatment of patients with gastric ulcer accompanied with bleeding

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目的 分析铝碳酸镁与艾司奥美拉唑联合应用在急性胃溃疡伴出血治疗中的价值.方法 选取济南市第三人民医院2021年6月至2023年6月收治的急性胃溃疡伴出血患者128例作为研究对象,根据随机数字表法分为对照组和观察组,每组64例.对照组采用艾司奥美拉唑治疗,观察组在对照组基础上加用铝碳酸镁治疗.比较两组胃溃疡黏膜愈合指标、症状评分及不良反应发生率.结果 治疗后,观察组患者血管内皮因子(VEGF)、环氧合酶(COX)及表皮生长因子(EGF)水平高于对照组,差异有统计学意义(P<0.05);观察组患者治疗后腹痛、泛酸、腹胀、嗳气评分低于对照组,差异有统计学意义(P<0.05);观察组患者不良反应发生率低于对照组,差异有统计学意义(P<0.05).观察组治疗后白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-23(IL-23)、肿瘤坏死因子-α(TNF-α)水平低于对照组,差异有统计学意义(P<0.05);观察组患者输血量少于对照组,观察组患者止血时间、呕血消失时间、便血消失时间短于对照组,差异有统计学意义(P<0.05).结论 急性胃溃疡伴出血患者采用铝碳酸镁结合艾司奥美拉唑治疗效果明显,患者胃溃疡黏膜指标趋于正常,各症状明显改善,临床上可借鉴及推广.
Objective To analyze the value of Aluminum Magnesium Marbonate combined with Esomeprazole in the treat-ment of acute gastric ulcer with bleeding.Methods A total of 128 patients with acute gastric ulcer accompanied with bleed-ing admitted to Jinan Third People's Hospital from June 2021 to June 2023 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 64 cases in each group.The control group was treated with Esomeprazole,and the observation group was treated with Aluminum Magnesium Car-bonate.The indexes of gastric ulcer mucosa healing,symptom score and incidence of adverse reactions were compared be-tween the two groups.Results After treatment,the levels of vascular endothelial growth factor(VEGF),cyclooxygenase(COX)and epidermal growth factor(EGF)in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After treatment,the scores of abdominal pain,pantothenic acid,abdominal distension and belching in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin-6(IL-6),interleukin-8(IL-8),inter-leukin-23(IL-23)and tumor necrosis factor-α(TNF-α)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The blood transfusion volume in the observation group was less than that in the control group,and the hemostasis time,hematemesis time and hematochezia time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Aluminum Magnesium Carbonate combined with Esomeprazole is effective in the treatment of patients with acute gastric ulcer with bleeding.The mucosal indexes of gastric ulcer tend to be normal,and the symptoms are significantly improved,which can be used for reference and promotion in clinical practice.

Acute gastric ulcer with bleedingAluminum Magnesium CarbonateEsomeprazoleGastric ulcer mucosa healing

韩会德

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山东省济南市第三人民医院药学部,山东济南 250132

急性胃溃疡伴出血 铝碳酸镁 艾司奥美拉唑 胃溃疡黏膜愈合

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(17)