首页|米曲菌胰酶片联合雷贝拉唑与莫沙必利治疗反流性食管炎患者的效果

米曲菌胰酶片联合雷贝拉唑与莫沙必利治疗反流性食管炎患者的效果

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目的:探讨米曲菌胰酶片联合雷贝拉唑、莫沙必利治疗反流性食管炎患者的效果.方法:选取 2022 年 5 月至 2023 年 5 月该院收治的 74 例反流性食管炎患者进行前瞻性研究,按照随机数字表法将其分成对照组和观察组各 37 例.对照组采用雷贝拉唑联合莫沙必利治疗,观察组在对照组基础上联合米曲菌胰酶片治疗.比较两组临床疗效,治疗前后临床症状积分、血清炎性因子[超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]水平,以及不良反应发生率.结果:观察组治疗总有效率为91.89%(34/37),高于对照组的 72.97%(27/37),差异有统计学意义(P<0.05);治疗后,观察组烧心、反酸、嗳气、胸骨疼痛、食欲不振等临床症状积分及血清hs-CRP、TNF-α、IL-6 水平均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:米曲菌胰酶片联合雷贝拉唑与莫沙必利治疗反流性食管炎患者能显著提高治疗总有效率,加快临床症状缓解,降低血清炎性因子水平,效果优于单用雷贝拉唑和莫沙必利.
Effects of Oryz-Aspergillus enzyme and pancreatin tablets combined with Rabeprazole and Mosapride in treatment of patients with reflux esophagitis
Objective:To investigate effects of Oryz-Aspergillus enzyme and pancreatin tablets combined with Rabeprazole and Mosapride in treatment of patients with reflux esophagitis.Methods:A prospective study was conducted on 74 patients with reflux esophagitis admitted to this hospital from May 2022 to May 2023.According to the random number table method,they were divided into control group and observation group,37 cases in each group.The control group was treated with Rabeprazole combined with Mosapride,while the observation group was treated with Oryz-Aspergillus enzyme and pancreatin tablets on the basis of that of the control group.The clinical efficacy,the clinical symptom scores,the serum inflammatory factors[high-sensitivity C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 91.89%(34/37),which was higher than 72.97%(27/37)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of clinical symptoms such as heartburn,acid reflux,belching,sternal pain,loss of appetite and the levels of serum hs-CRP,TNF-α and IL-6 in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Aspergillus oryzae pancreatin tablets combined with Rabeprazole and Mosapride in the treatment of the patients with reflux esophagitis can significantly improve the total effective rate of treatment,accelerate the relief of clinical symptoms,and reduce the levels of serum inflammatory factors.Moreover,it is superior to single Rabeprazole and Mosapride treatment.

Oryz-Aspergillus enzyme and pancreatin tabletsReflux esophagitisRabeprazoleMosaprideInflammatory factor

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宽甸满族自治县中心医院重症医学科,辽宁 丹东 118200

米曲菌胰酶片 反流性食管炎 雷贝拉唑 莫沙必利 炎性因子

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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