糖尿病新世界2024,Vol.27Issue(20) :161-164.DOI:10.16658/j.cnki.1672-4062.2024.20.161

探究多潘立酮与依帕司他联合治疗对糖尿病性胃轻瘫患者临床症状的改善效果

Exploring the Effect of Combined Treatment with Domperidone and Epal-restat on the Improvement of Clinical Symptoms in Patients with Diabetic Gastroparesis

王玉晓 邵长东 王婷婷
糖尿病新世界2024,Vol.27Issue(20) :161-164.DOI:10.16658/j.cnki.1672-4062.2024.20.161

探究多潘立酮与依帕司他联合治疗对糖尿病性胃轻瘫患者临床症状的改善效果

Exploring the Effect of Combined Treatment with Domperidone and Epal-restat on the Improvement of Clinical Symptoms in Patients with Diabetic Gastroparesis

王玉晓 1邵长东 1王婷婷1
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作者信息

  • 1. 栖霞市中医医院内科,山东 烟台 264000
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摘要

目的 探究多潘立酮与依帕司他联合治疗对糖尿病性胃轻瘫(diabetic gastroparesis,DG)患者临床症状的改善效果.方法 选取2021年1月—2024年6月栖霞市中医医院收治的84例DG患者,根据不同的治疗方法分为两组,每组42例.对照组给予多潘立酮单独治疗,联合组给予多潘立酮联合依帕司他治疗.比较两组胃功能指标、胃排空率、症状积分、并发症发生率.结果 治疗后,联合组胃蛋白酶原Ⅰ、胃蛋白酶原Ⅱ、胃泌素-17、胃排空率均优于对照组,差异均有统计学意义(P均<0.05).治疗后,联合组各项症状积分均低于对照组,差异均有统计学意义(P均<0.05).联合组并发症发生率略高于对照组,差异无统计学意义(P>0.05).结论 多潘立酮与依帕司他联合治疗DG患者能够显著改善其临床症状,提高胃功能指标水平和胃排空率,且并未明显增加并发症风险.

Abstract

Objective To explore the combination effect of domperidone and epalastat on improving clinical symptoms in patients with diabetic gastroparesis(DG).Methods A total of 84 patients with DG admitted to Qixia Hospital of Tra-ditional Chinese Medicine from January 2021 to June 2024 were selected and divided into two groups according to dif-ferent treatment methods,with 42 cases in each group.The control group was treated with domperidone alone,and the combined group was treated with domperidone combined with epalrestat.The gastric function index,gastric emptying rate,symptom score and complication rate were compared between the two groups.Results After treatment,the pep-sinogen Ⅰ,pepsinogen Ⅱ,gastrin-17 and gastric emptying rate in the combined group were better than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the symptom scores of the combined group were lower than those of the control group,and the differences were statistically significant(all P<0.05).After treatment,the incidence of complications in the combined group was slightly higher than that in the con-trol group,but there was no significant difference between the two groups(P>0.05).Conclusion The combination of domperidone and epalostat in patients with DG can significantly improve their clinical symptoms,improve the level of gastric function index and gastric emptying rate,and did not significantly increase the risk of complications.

关键词

多潘立酮/依帕司他/糖尿病性胃轻瘫/临床症状/联合治疗

Key words

Domperidone/Epalstat/Diabetic gastroparesis/Clinical symptoms/Combination therapy

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出版年

2024
糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
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