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泮托拉唑联合奥曲肽治疗上消化道出血患者的效果

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目的:观察泮托拉唑联合奥曲肽治疗上消化道出血患者的效果。方法:回顾性分析2018—2020年该院收治的84例上消化道出血患者的临床资料,根据治疗方式不同将其分为研究组(n=42)和对照组(n=42)。对照组采用奥曲肽治疗,研究组在对照组基础上联合泮托拉唑治疗。比较两组临床疗效,疾病相关指标水平,治疗前后凝血功能指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)]、血红蛋白(Hb)水平,以及不良反应发生率。结果:研究组治疗总有效率为95。24%,高于对照组的78。57%,差异有统计学意义(P<0。05);研究组出血量少于对照组,止血时间、住院时间均短于对照组,差异有统计学意义(P<0。05);治疗后,两组PT、APTT水平均低于治疗前,且研究组低于对照组,两组FIB水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0。05);治疗后,两组Hb水平均高于治疗前,且研究组高于对照组,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:泮托拉唑联合奥曲肽治疗上消化道出血患者可提高治疗总有效率和Hb水平,改善凝血功能指标水平,以及降低疾病相关指标水平的效果优于单纯奥曲肽治疗。
Effects of Pantoprazole combined with Octreotide in treatment of patients with upper gastrointestinal bleeding
Objective:To observe effects of Pantoprazole combined with Octreotide in treatment of patients with upper gastrointestinal bleeding. Methods:The clinical data of 84 patients with upper gastrointestinal bleeding admitted to the hospital from 2018 to 2020 were retrospectively analyzed. According to different treatment methods,they were divided into study group (n=42) and control group (n=42). The control group was treated with Octreotide,while the study group was treated with Pantoprazole on the basis of that of the control group. The clinical efficacy,the disease-related index levels,the coagulation function indexes[activated partial thromboplastin time (APTT),prothrombin time (PT),fibrinogen (FIB)],hemoglobin (Hb) levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups. Results:The total effective rate of treatment in the study group was 95.24%,which was higher than 78.57% in the control group,and the difference was statistically significant (P<0.05). The amount of bleeding in the study group was less than that in the control group,the hemostasis time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant (P<0.05). After the treatment,the levels of PT and APTT in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;the FIB levels of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;and the differences were statistically significant (P<0.05). After the treatment,the Hb levels of the two groups were higher than those before the treatment,that in the study group was higher than that 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:Pantoprazole combined with Octreotide in the treatment of the patients with upper gastrointestinal bleeding can improve the total effective rate of treatment and the Hb levels,improve the levels of coagulation function indexes,and reduce the levels of disease-related indexes. Moreover,it is superior to simple Octreotide treatment.

Upper gastrointestinal bleedingPantoprazoleOctreotideCoagulation function indexAdverse reaction

王芳、崔本红、宋江庆

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南阳市第二人民医院病区药房,河南 南阳 473000

上消化道出血 泮托拉唑 奥曲肽 凝血功能指标 不良反应

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(24)