首页|奥美拉唑治疗口腔颌面外科术后应激性溃疡出血的临床疗效分析

奥美拉唑治疗口腔颌面外科术后应激性溃疡出血的临床疗效分析

Clinical effect of omeprazole on stress ulcer bleeding after oral and maxillofacial surgery

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目的 分析奥美拉唑治疗口腔颌面外科术后应激性溃疡出血的临床疗效.方法 研究对象为本科室收治的口腔颌面外科术后应激性溃疡出血患者,共计96例,患者的入院时间为2020年1月~2021年6月,采取简单随机法中的抓阄法对其实施分组,分为观察组和对照组,每组48例.在治疗方案上,两组依次采取奥美拉唑联合西咪替丁和单纯西咪替丁的治疗方案进行治疗.结果 观察不同治疗方案下两组患者的治疗总有效率,胃酸、胃泌素、生长抑素等指标的改善程度及各项治疗指标,观察组较对照组,均表现出了显著的优势,各项观察指标组间比较,差异有统计学意义(P < 0.05).在药物不良反应发生方面的比较,组间差异无统计学意义(P > 0.05).结论 针对口腔颌面外科术后应激性溃疡出血患者的治疗,采取奥美拉唑,能够发挥显著的疗效,不仅具有较高的治疗总有效率,且能够有效改善患者的胃酸、胃泌素、生长抑素水平,并缩短其治疗时间,同时并不会增加患者的不良反应,安全性较好.
Objective to analyze the clinical effect of omeprazole on stress ulcer bleeding after oral and maxillofacial surgery. Methods The subjects were 96 patients with stress ulcer bleeding after oral and maxillofacial surgery admitted by our department. The admission time of the patients was from January 2020 to June 2021. The patients were divided into two parallel groups, namely, the observation group and the control group. There were 48 subjects in each group. In terms of treatment plan, omeprazole combined with cimetidine and cimetidine alone were used in the two groups. Results The total effective rate, the improvement of gastric acid, gastrin, somatostatin and other indicators as well as various treatment indicators of the two study groups were observed under different treatment schemes. The observation group showed significant advantages over the control group, and the differences of various observation indicators between groups were statistically significant (P<0.05). In terms of adverse drug reactions, there was no statistically significant difference between the two study groups (P>0.05). Conclusion For the treatment of patients with stress ulcer bleeding after oral and maxillofacial surgery, omeprazole can play a significant role. It not only has a higher total effective rate of treatment, but also can effectively improve the levels of gastric acid, gastrin and somatostatin in patients, shorten the treatment time, and will not increase the adverse reactions of patients, with good safety.

omeprazoleoral and maxillofacial surgerystress ulcer bleedingtreatment effectsecurity

李晓义

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罗平县人民医院,云南 曲靖 655800

奥美拉唑 口腔颌面外科手术 应激性溃疡出血 治疗效果 安全性

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(4)
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