辽宁医学杂志2024,Vol.38Issue(4) :48-51.

探讨口服醋酸泼尼松对早期食管癌术后食管狭窄的预防效果及安全性研究

Effect and Safety of Oral Prednisone Acetate in the Prevention of Esophageal Stenosis after Early Esophageal Cancer Surgery

马金枝 牛益璐 孟婷婷
辽宁医学杂志2024,Vol.38Issue(4) :48-51.

探讨口服醋酸泼尼松对早期食管癌术后食管狭窄的预防效果及安全性研究

Effect and Safety of Oral Prednisone Acetate in the Prevention of Esophageal Stenosis after Early Esophageal Cancer Surgery

马金枝 1牛益璐 2孟婷婷1
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作者信息

  • 1. 洛阳市第六人民医院(河南洛阳 471000)
  • 2. 洛阳市妇幼保健院(河南洛阳 471000)
  • 折叠

摘要

目的 研究口服醋酸泼尼松在预防早期食管癌术后食管狭窄中的效果及安全性.方法 将医院2018.03~2020.03间收治的76例早期食管癌患者均分为观察组与对照组,其均由资历相当的主治医生行内镜下粘膜剥离术(ESD)治疗,对照组在术后接受常规治疗,观察组在术后服用醋酸泼尼松,观察两组术后食管狭窄发生情况.结果 观察组食管狭窄发生率显著低于对照组(P<0.05);两组术后8周S1溃疡愈合率无显著性差异(P>0.05);两组不良反应无显著性差异(P>0.05);观察组术后6个月内镜下球囊扩张术(EBD)次数显著少于对照组(P<0.05).结论 预防性口服醋酸泼尼龙可有效预防食管癌术后食管狭窄,减少术后6个月EBD治疗平均次数,且对溃疡愈合无明显影响,药物不良反应低.

Abstract

Objective To investigate the effect and safety of oral prednisone acetate in the prevention of esophageal ste-nosis after early esophageal cancer surgery.Methods 76 patients with early esophageal cancer surgery in our hospital from January 2018 March to March 2020 were enrolled,and equally divided into two groups.The endoscopic submucosal dissec-tion was performed in both groups.Control group received routine treatment,while observation group received oral predni-sone acetate.Then the incidence rate of esophageal stenosis was recorded in both groups.Results The incidence rate of e-sophageal stenosis was lower in observation group than in control group(P<0.05).The healing rate of patients with stage S1 ulcer had no difference between groups at postoperative 8wks(P>0.05),and the adverse reaction rate had no difference between groups(P>0.05);The frequency of endoscopic balloon dilation(EBD)at postoperative 6mon was lower in observa-tion group than in control group(P<0.05).Conclusion Prophylactic oral administration of prednisolone acetate can ef-fectively prevent esophageal stenosis,reduce the frequency of EBD treatment after operation,and has no significant effect on ulcer healing for patients with early esophageal cancer surgery,with low adverse drug reactions.

关键词

醋酸泼尼松/早期食管癌/术后食管狭窄/预防效果/安全性

Key words

Prednisone acetate/Early esophageal cancer/Postoperative esophageal stenosis/Preventive effect/Safety

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出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
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