首页|艾普拉唑与奥美拉唑注射用药对消化道溃疡出血的疗效

艾普拉唑与奥美拉唑注射用药对消化道溃疡出血的疗效

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目的 探究艾普拉唑与奥美拉唑注射用药对消化道溃疡出血的疗效。方法 选取104例消化性溃疡出血患者为研究对象,遵循随机分组的原则分为观察组(n=53)和对照组(n=51)。对照组采用奥美拉唑注射用药,治疗组采用艾普拉唑注射用药。比较2组患者治疗3 d内止血率、治疗7 d内再出血率、输血率和住院时间,评估2组患者治疗前、治疗3 d后血清炎性因子白细胞介素-6(interleukin-6,IL-6)、应激反应指标降钙素原(procalcitonin,PCT)、生长因子[表皮生长因子(epidermal growth factor,EGF)、碱性成纤维细胞生长因子(basic fibroblast growth factor,BFGF)]和凝血功能[血浆凝血酶原时间(plasma prothrombin time,PT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)]水平,记录2组患者治疗期间不良反应的发生情况。结果 2组患者治疗3 d内止血率、治疗7 d内再出血率、输血率和住院时间比较,差异均无统计学意义(P>0。05);治疗3 d后,2组患者血清IL-6、PCT、PT和APTT均较治疗前降低,且观察组均低于同期对照组(P<0。05);2组患者EGF和BFGF水平均较治疗前升高,且观察组高于同期对照组(P<0。05);2组不良反应发生率比较差异无统计学意义(P>0。05)。结论 艾普拉唑与奥美拉唑对消化性溃疡出血的止血效果相近,但艾普拉唑能有效减轻患者炎性反应及应激反应,能促进患者溃疡修复,且安全性较好。
Efficacy of ilaprazole and omeprazole injection on peptic ulcer bleeding
Objective To explore the efficacy of ilaprazole and omeprazole injection in the treatment of peptic ulcer bleeding.Methods 104 patients with peptic ulcer bleeding were selected as the research subjects.Following the principle of randomization,the patients were divided into observation group(n=53)and control group(n=51).The control group was given Omeprazole Injections,while the treatment group adopted Ilaprazole Injections.The differences in hemostasis rate within 3 days of treatment,re-bleeding rate within 7 days of treatment,blood transfusion rate and hospital stay were compared between the 2 groups.The differences in the levels of serum inflammatory factor interleukin-6(IL-6),stress response indicator procalcitonin(PCT),growth factors[epidermal growth factor(EGF),and basic fibroblast growth factor(BFGF)]and coagulation function[plasma prothrombin time(PT)and activated partial thromboplastin time(APTT)]of the 2 groups were evaluated before treatment and after 3 days of treatment.The differences in adverse reactions were analyzed in the 2 groups during treatment.Results There was no statistical difference in the hemostasis rate within 3 days of treatment,re-bleeding rate within 7 days of treatment,blood transfusion rate and hospital stay between the 2 groups.After 3 days of treatment,the serum IL-6 and PCT,PT and APTT in both groups were reduced or shortened compared with those before treatment,and the above indicators in observation group were lower or shorter than those in control group during the same period(P<0.05).The EGF and BFGF levels in both groups were enhanced compared with those before treatment,and the levels in observation group were higher than those in control group(P<0.05).There was no statistically significant difference in the incidence rates of adverse reactions between the 2 groups(P>0.05).Conclusion Both ilaprazole and omeprazole have similar hemostatic effects on peptic ulcer bleeding,but ilaprazole can effectively relieve the inflammatory response and stress response and promote the ulcer repair,with good safety.

ilaprazoleomeprazoledrug injectionpeptic ulcerbleedinginterleukin-6procalcitonin

胡琰婷、拜年、王建华

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新疆医科大学第一附属医院药学部,乌鲁木齐 830054

艾普拉唑 奥美拉唑 注射用药 消化性溃疡 出血 白细胞介素-6 降钙素原

新疆医科大学人文社会科学基金项目改革与发展专项

2017XYFG49

2024

西北药学杂志
西安交通大学,陕西省药学会

西北药学杂志

CSTPCD
影响因子:0.912
ISSN:1004-2407
年,卷(期):2024.39(5)