首页|云南白药联合雷贝拉唑对上消化道出血患者血清炎症介质和胃肠激素的影响

云南白药联合雷贝拉唑对上消化道出血患者血清炎症介质和胃肠激素的影响

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目的 观察并探讨上消化道出血患者联合应用云南白药、雷贝拉唑治疗的临床效果。方法 选取2019年1月至2022 年 9 月就诊于分宜县人民医院 80 例上消化道出血患者作为临床治疗对象,根据红蓝双色球法,随机设为参照组(n=40)和联合组(n=40)。参照组应用雷贝拉唑治疗,联合组应用雷贝拉唑治疗同时加用云南白药。观察比较两组用药效果、症状缓解时间、凝血功能、胃肠激素、炎性标志物和不良反应。结果 联合组用药效果为97。50%,较参照组更高(P<0。05)。联合组止血时间、呕血停止时间、黑便停止时间、住院时间较参照组更短(P<0。05)。治疗后,联合组与参照组D-二聚体、血小板计数、胃泌素、中性粒细胞/淋巴细胞均显著改善,且联合组改善程度较参照组更优(P<0。05)。联合组头晕、腹部不适、恶心等不良反应与参照组无差异(P>0。05)。结论 上消化道出血患者应用雷贝拉唑治疗的同时加用云南白药、能够显著地改善凝血功能,调节胃肠激素,改善胃肠功能,抑制炎性标志物表达,促使症状迅速缓解,疗效确切。
Effects of Yunnan Baiyao Combined with Rabeprazole on Serum Inflammatory Mediators and Gastrointestinal Hormones in Patients with Upper Gastrointestinal Bleeding
Objective To observe and discuss the clinical effect of yunnan baiyao and rabeprazole in the treatment of patients with upper gastrointestinal bleeding.Methods A total of 80 patients with upper gastrointestinal bleeding admitted to Fenyi County People's Hospital from January 2019 to September 2022 were selected as clinical treatment objects,randomly divided into reference group(n=40)and combination group(n=40)according to the red and blue two-color ball method.The reference group was treated with rabeprazole,the combination group were treated with rabeprazole and yunnan baiyao.The effects,symptom relief time,coagulation function,gastrointestinal hormones,inflammatory markers and adverse reactions of the two groups were observed and compared.Results The drug effect of combination group was higher than that of reference group(P<0.05).The hemostatic time,hematemesis stopping time,black stool stopping time and hospital stay in the combination group were shorter than those in the reference group(P<0.05).After treatment,D-D,PLT,Gas and NLR were significantly improved in combination group and reference group,and the improvement degree of combination group was better than that of reference group(P<0.05).There were no differences in adverse reactions such as dizziness,abdominal discomfort and nausea between the combination group and the reference group(P>0.05).Conclusion The combination of rabeprazole and yunnan baiyao can significantly improve coagulation function,regulate gastrointestinal hormones,improve gastrointestinal function,inhibit the expression of inflammatory markers,and promote rapid relief of symptoms in patients with upper gastrointestinal bleeding.

Upper gastrointestinal bleedingRabeprazoleYunnan baiyaoCoagulation functionGastrointestinal hormone

胡小勇、万里晖、鄢小华

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分宜县人民医院,江西 分宜 336600

江西省人民医院,江西 南昌 330006

上消化道出血 雷贝拉唑 云南白药 凝血功能 胃肠激素

2024

药品评价
江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(1)
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