首页|生长抑素与奥美拉唑联用治疗老年SAP的疗效和安全性研究

生长抑素与奥美拉唑联用治疗老年SAP的疗效和安全性研究

Efficacy and safety of somatostatin combined with omeprazole in treatment of senile patients with SAP

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目的 研究生长抑素与奥美拉唑联用治疗老年重症急性胰腺炎(SAP)的疗效和安全性.方法 选取60岁以上SAP患者共82例,随机分为两组,每组41例.对照组给予常规治疗,并每天加用奥美拉唑40 mg;试验组在此基础上,每天再加用生长抑素3 mg.治疗1 w后,比较两组临床疗效,记录患者的恢复时间及治疗期间的并发症发生情况等.结果 治疗后,试验组总有效率(95.12%)明显高于对照组(80.49%)(P<0.05);试验组的住院时间、肠道功能恢复时间、腹痛腹胀缓解时间、血淀粉酶恢复时间和尿淀粉酶恢复时间等指标均短于对照组(P<0.05);而两组的并发症发生率比较无统计学差异(P>0.05).结论 在常规治疗和生长抑素治疗的基础上,加用奥美拉唑可明显提高老年SAP的临床疗效,缩短患者康复时间,且并发症发生率也无明显增加,值得在临床推广应用.
Objective To study the efficacy and safety of somatostatin combined with omeprazole in the treatment of senile patients with severe acute pancreatitis (SAP).Methods A total of 82 patients over the age of 82 with SAP were randomly divided into a control group and an experiment group (n =41, respectively). The control group received conventional treatment and additionally administered with 40-mg omeprazole every day. On the basis of this, the experiment group was administered with 3-mg somatostatin. After one-week treatment, the clinical effect between the two groups was compared and the recovery time and complications were recorded. control group and an experiment group (n =41, respectively). The control group received conventional treatment and additionally administered with 40-mg omeprazole every day. On the basis of this, the experiment group was administered with 3-mg somatostatin. After one-week treatment, the clinical effect between the two groups was compared and the recovery time and complications were recorded.Results After the treatment, the total efficiency in the experiment group (95.12%) was significantly higher than that in the control group (80.49%) (P < 0.05); the hospitalization duration, intestinal function recovery time, abdominal pain relief time, recovery time of blood amylase and that of urine amylase and other indicators in the experiment group were shorter than those in the control group (P < 0.05), while there was no significant difference in complications between the two groups (P > 0.05).Conclusion On the basis of conventional treatment and somatostatin treatment, the addition of omeprazole can significantly improve the clinical effect on senile patients with SAP and shorten the recovery time of patients without significant increase in the incidence of complications, so it is worthy of clinical application.

somatostatinomeprazolesevere acute pancreatitissenile

李荣萍、唐浩、陈聪

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571159海口,解放军187医院急诊科

571159海口,解放军187医院肝胆外科

生长抑素 奥美拉唑 重症急性胰腺炎 老年

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(3)
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