首页|云南白药联合奥美拉唑对非静脉曲张性上消化道出血患者症状缓解时间及凝血功能的影响

云南白药联合奥美拉唑对非静脉曲张性上消化道出血患者症状缓解时间及凝血功能的影响

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目的 探讨云南白药联合奥美拉唑对上非静脉曲张性消化道出血患者症状缓解时间及凝血功能的影响。方法 选取上饶市中心医院2021年2月至2023年5月收治的非静脉曲张性上消化道出血患者90例,以抽签法分为对照组(45例)和治疗组(45例)。对照组予奥美拉唑治疗,治疗组予云南白药联合奥美拉唑治疗。对比两组治疗效果、症状缓解时间、凝血功能指标、应激反应指标及不良反应。结果 治疗组总有效率较对照组高,止血、便血消失时间较对照组短,差异有统计学意义(P<0。05)。治疗24 h,治疗组凝血酶时间(TT)、凝血酶原时间(PT)、部分活化凝血酶时间(APTT)较对照组低,差异有统计学意义(P<0。05);治疗1周,治疗组前列腺素E2(PGE2)较对照组高,醛固酮(ALD)、皮质醇(Cor)水平较对照组低,差异有统计学意义(P<0。05)。两组不良反应对比,差异无统计学意义(P>0。05)。结论 非静脉曲张性上消化道出血患者采用云南白药联合奥美拉唑治疗效果好,可缩短症状缓解时间,改善凝血功能,减轻应激反应,且安全性好。
The Effects of Yunnan Baiyao Combined with Omeprazole on Symptom Relief Time and Coagulation Function in Patients with Non-varicose Upper Gastrointestinal Bleeding
Objective To investigate the effects of yunnan baiyao combined with omeprazole on symptom relief time and coagulation function in patients with non-varicose upper gastrointestinal bleeding(UGIB).Methods A total of 90 non-varicose UGIB patients admitted to Shangrao Central Hospital from February 2021 to May 2023 were divided into control group(45 cases)and treatment group(45 cases)by drawing lots.The control group was treated with omeprazole,and the treatment group was treated with yunnan baiyao combined with omeprazole.The therapeutic effect,symptom remission time,coagulation function index,stress response index and adverse reaction were compared between the two groups.Results The total effective rate of the treatment group was higher than that of the control group,and the time of hemostasis and stool blood disappearance was shorter than that of the control group,with statistical difference(P<0.05).After 24 h of treatment,thrombin time(TT),prothrombin time(PT)and partially activated thrombin time(APTT)in treatment group were lower than those in control group,with statistical difference(P<0.05).After 1 week of treatment,the levels of prostaglandin E2(PGE2)and aldosterone(ALD)and cortisol(Cor)in treatment group were higher than those in control group,and the differences were statistically significant(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion Yunnan baiyao combined with omeprazole has a good effect on non-varicose UGIB patients,which can shorten the time of symptom relief,improve coagulation function,reduce stress reaction,and has good safety.

Upper gastrointestinal bleedingYunnan baiyaoOmeprazoleDuration of symptom remissionCoagulation function

张慧才、叶社俊、叶眉眉

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上饶市中心医院,江西 上饶 334000

上消化道出血 云南白药 奥美拉唑 症状缓解时间 凝血功能

2024

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江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(3)