首页|雷贝拉唑结合氟哌噻吨美利曲辛治疗慢性胃炎的临床探讨

雷贝拉唑结合氟哌噻吨美利曲辛治疗慢性胃炎的临床探讨

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目的 对慢性胃炎患者应用雷贝拉唑、氟哌噻吨美利曲辛联合治疗的效果进行观察.方法 选取慢性胃炎患者 100 例,以抽签的方式划分为对照组(采用雷贝拉唑治疗)及研究组(采用雷贝拉唑+氟哌噻吨美利曲辛治疗),每组 50 例.比较两组患者的治疗效果,相关评分[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、胃肠道症状评定量表(GSRS)评分],不良反应发生情况,复发情况.结果 研究组治疗总有效率 96.00%高于对照组的 82.00%(P<0.05).治疗后,两组患者的GSRS、HAMD、HAMA评分较治疗前降低,其中研究组患者的GSRS、HAMD、HAMA评分分别为(8.21±0.62)、(14.10±0.66)、(13.02±0.51)分,低于对照组的(13.22±1.19)、(18.79±1.26)、(17.19±0.66)分(P<0.05).研究组不良反应发生率 8.00%低于对照组的 24.00%(P<0.05).随访 4 个月,研究组未出现复发病例,对照组疾病复发 5 例,复发率为 10.00%,研究组复发率低于对照组(x2=5.263,P=0.022<0.05).结论 慢性胃炎患者采用雷贝拉唑、氟哌噻吨美利曲辛联合治疗,可改善患者病症和心理状态,预防不良反应,降低复发风险,提升临床疗效,有推广应用的价值.
Clinical study on the treatment of chronic gastritis with rabeprazole combined with flupentixol and melitracen
Objective To observe the effect of rabeprazole combined with flupentixol and melitracen in the treatment of patients with chronic gastritis.Methods 100 patients with chronic gastritis were selected,and divided into a control group(treated with rabeprazole)and a study group(treated with rabeprazole+flupentixol and melitracen)by drawing lots,with 50 cases in each group.The treatment effects,relevant scores[Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Gastrointestinal Symptom Rating Scale(GSRS)score],occurrence of adverse reactions and recurrence were compared between the two groups.Results The total effective rate of the study group was 96.00%,which was higher than the control group's 82.00%(P<0.05).After treatment,the scores of GSRS,HAMD and HAMA in both groups were lower than those before treatment;the scores of GSRS,HAMD and HAMA in the study group were(8.21±0.62),(14.10±0.66)and(13.02±0.51)points,which were lower than(13.22±1.19),(18.79±1.26)and(17.19±0.66)points in the control group(P<0.05).The incidence of adverse reactions in the study group was 8.00%,which was lower than the control group's 24.00%(P<0.05).After 4 months of follow-up,there were no recurrence cases in the study group and 5 recurrent cases with a recurrence rate of 10.00%;the recurrence rate in the study group was lower than that in the control group(x2=5.263,P=0.022<0.05).Conclusion The combination treatment of rabeprazole and flupentixol and melitracen can improve the symptoms and psychological status of patients with chronic gastritis,prevent adverse reactions,reduce the risk of recurrence,and enhance clinical efficacy.It has the value of promotion and application.

Chronic gastritisFlupentixol and melitracenRabeprazoleClinical efficacy

罗酩、张莉娜、朱翠翠、费蒙辉、张霁雯、覃林花

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201908 上海市宝山区罗店医院

慢性胃炎 氟哌噻吨美利曲辛 雷贝拉唑 临床疗效

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(12)