首页|莫沙必利联合雷贝拉唑治疗反流性食管炎的效果

莫沙必利联合雷贝拉唑治疗反流性食管炎的效果

扫码查看
目的:探究莫沙必利联合雷贝拉唑治疗反流性食管炎的效果.方法:选取 2022 年 11月至 2023年 11 月期间于本院就诊的 102 例反流性食管炎患者,随机分为对照组(n=49)和观察组(n=53),分别口服雷贝拉唑 10 mg,3 次·d-1 或口服莫沙必利5 mg联合雷贝拉唑 10 mg,3 次·d-1治疗.治疗 2 m后对比两组临床疗效,同时采用全自动生化分析仪检测胃泌素(Gastrin,GAS)、胃蛋白酶原(Pepsinogen 1,PG1)、胃蛋白酶原(Pepsinogen 2,PG2)水平,采用酶联免疫吸附法检测白细胞介素-1β(Interleukin-1β,IL-1β)、白细胞介素-2(Interleukin-2,IL-2)、白细胞介素-6(Interleukin-6,IL-6)水平;采用水灌注式Polygram 98 动力学参数、监测系统检测食管下括约肌压力,并统计两组治疗期间不良反应情况.结果:观察组的临床疗效率显著高于对照组(P<0.05).治疗后,两组的GAS、PG1 水平均上升,PG2 水平下降,且观察组上述指标均优于对照组(P<0.05).两组治疗后的 IL-1β、IL-2、IL-6 水平均比治疗前降低,且观察组上述指标均优于对照组(P<0.05).观察组治疗后的食管下括约肌压力大于对照组(P<0.05),且不良反应发生率明显低于对照组(P<0.05).结论:莫沙必利联合雷贝拉唑治疗反流性食管炎,能提高临床疗效,改善患者的胃激素和炎性因子水平,减少发生不良反应.
Effects of mosapride combined with rabeprazole in patients with reflux esophagitis
Objective:To explore the effect of mosapride combined with rabeprazole in the treatment of reflux esophagitis.Methods:A total of 102 patients with reflux esophagitis who were treated in our hospital from November 2022 to November 2023 were randomly divided into a control group(n=49)and an observation group(n=53),and were treated with oral administration of Rabeprazole 10 mg,3 times·day-1 or oral administration of Mosapride 5 mg combined with Rabeprazole 10 mg,3 times·day-1.After 2 months of treatment,the clinical efficacy of the two groups was compared.At the same time,the levels of gastrin(GAS),pepsinogen 1(PG1),and pepsinogen 2(PG2)were detected using a fully automated biochemical analyzer.The levels of interleukin-1β(IL-1β),interleukin-2(IL-2),and interleukin-6(IL-6)were detected using enzyme-linked immunosorbent assay.The Polygram 98 kinetic parameters and monitoring system were used to detect the pressure of the lower esophageal sphincter,and the adverse reactions during the treatment period were statistically analyzed in both groups.Results:The clinical efficacy rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the levels of GAS and PG1 in both groups increased,while the level of PG2 decreased.The above indicators in the observation group were better than those in the control group(P<0.05).The levels of IL-1β,IL-2,and IL-6 in both groups after treatment were lower than those before treatment,and the above indicators in the observation group were better than those in the control group(P<0.05).The lower esophageal sphincter pressure in the observation group after treatment was higher than that in the control group(P<0.05),and the incidence of adverse reactions was significantly lower than that in the control group(P<0.05).Conclusion:Mosapride combined with Rabeprazole in the treatment of reflux esophagitis can improve the clinical efficacy,improve the levels of gastric hormones and inflammatory factors in patients,and reduce the occurrence of adverse reactions.

MosaprideRabeprazoleReflux esophagitisClinical effectGastric hormone

曹启迪、巩会杰、胡景岚

展开 >

驻马店市中心医院胃肠内科,河南 驻马店 463000

莫沙必利 雷贝拉唑 反流性食管炎 临床疗效 胃激素

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(12)