临床消化病杂志2024,Vol.36Issue(1) :58-61.DOI:10.3870/lcxh.j.issn.1005-541X.2024.01.013

艾司奥美拉唑联合三氟噻吨/美利曲辛改善糜烂性胃炎患者负性心理的临床疗效

Clinical effect of esomeprazole plus trifluthixene and meldonium improve negative psychology in patients with erosive gastritis

徐成龙 程海俐 张彩凤 吴国斌
临床消化病杂志2024,Vol.36Issue(1) :58-61.DOI:10.3870/lcxh.j.issn.1005-541X.2024.01.013

艾司奥美拉唑联合三氟噻吨/美利曲辛改善糜烂性胃炎患者负性心理的临床疗效

Clinical effect of esomeprazole plus trifluthixene and meldonium improve negative psychology in patients with erosive gastritis

徐成龙 1程海俐 1张彩凤 1吴国斌2
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作者信息

  • 1. 沧州市人民医院本部消化内科二区,河北 沧州 061000
  • 2. 石家庄市人民医院消化内科,河北 石家庄 050000
  • 折叠

摘要

[目的]评价艾司奥美拉唑与三氟噻吨/美利曲辛合用与单用艾司奥美拉唑治疗伴负性情绪的糜烂性胃炎的疗效.[方法]纳入140例伴负性情绪的糜烂性胃炎患者,均分为观察组(70例)与对照组(70例).观察组服用艾司奥美拉唑加三氟噻吨/美利曲辛,对照组服用艾司奥美拉唑,疗程均为4周.观察治疗前后临床症状、胃黏膜糜烂、前列腺素E2(PGE2)和丙二醛(MDA)水平、焦虑、抑郁及复发情况.[结果]治疗后观察组临床症状、黏膜糜烂、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均低于对照组(P<0.05),PGE2高于对照组(P<0.05),MDA低于对照组(P<0.05).6个月随访(100%随访率),观察组、对照组分别有16例(22.9%)、34例(48.6%)复发,2组复发率比较差异有统计学意义(P<0.05).[结论]艾司奥美拉唑联合三氟噻吨/美利曲辛治疗可改善患者的临床症状和黏膜糜烂,缓解患者的负性情绪,降低复发率.合方的疗效高于单方.

Abstract

[Objective]The objective of this study was to evaluate the efficacy of esomeprazole combined with trifluthixene/melittrix versus esomeprazole alone in the treatment of erosive gastritis with negative emotions.[Methods]The totals of 140 erosive gastritis patients with negative emotions were included in this study.The control group received esomeprazole in 70 cases,and the observation group received esome-prazole plus trifluthixol/melitracen in 70 cases.The course of treatment was 4 weeks.Clinical symptoms,gastric mucosal erosion,prostaglandin E2(PGE2)and malondialdehyde levels,anxiety,depression and recur-rence were observed before and after treatment.[Results]After treatment,the clinical symptoms,mucosal erosion,Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores of the observa-tion group were lower than those of the control group(P<0.05),PGE2 was higher than that of the control group(P<0.05),and malondialdehyde(MDA)was lower than that of the control group(P<0.05).At 6 months follow-up period(100%follow-up rate),16 patients(22.9%)and 34 patients(48.6%)in the obser-vation group and control group relapsed,respectively(P<0.05).[Conclusion]Esomeprazole combined with trifluthixene/Melitripacin can improve the clinical symptoms and mucosal erosion,relieve the negative mood in erosive gastritis patients,and reduce the recurrence rate.

关键词

胃黏膜/黏膜糜烂/前列腺素E2/丙二醛/负性情绪

Key words

gastric mucosa/mucosal erosions/Prostaglandin E2/Malondialdehyde/negative emotions

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基金项目

河北省医学科学研究课题(2023)(20231603)

出版年

2024
临床消化病杂志
华中科技大学同济医学院协和医院,中国协和医科大学协和医院

临床消化病杂志

CSTPCD
影响因子:1.085
ISSN:1005-541X
参考文献量17
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