首页|铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴出血患者的临床疗效研究

铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴出血患者的临床疗效研究

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目的 探讨铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴出血患者的临床疗效.方法 选取82 例胃溃疡伴出血患者,根据随机数字表法分为对照组和研究组,各 41 例.对照组应用艾司奥美拉唑治疗,研究组应用铝碳酸镁联合艾司奥美拉唑治疗.对比两组临床疗效、胃肠激素[血清胃泌素(GAS)、胃动素(MTL)与胆囊收缩素(CCK)]水平以及不良反应发生情况.结果 研究组临床总有效率 95.1%高于对照组的 78.0%(P<0.05).治疗后,研究组GAS(72.7±8.4)ng/L及CCK(12.8±2.4)μmol/L低于对照组的(81.2±9.1)ng/L、(15.2±2.5)μmol/L,MTL(236.9±26.7)ng/L高于对照组的(215.3±20.7)ng/L(P<0.05).研究组不良反应发生率 12.2%低于对照组的 31.7%(P<0.05).结论 胃溃疡伴出血患者接受铝碳酸镁与艾司奥美拉唑联合治疗能够取得较为理想的效果,安全性高,值得推广.
Study on clinical efficacy of magnesium aluminum carbonate combined with esomeprazole in the treatment of patients with gastric ulcer accompanied by bleeding
Objective To explore the clinical efficacy of magnesium aluminum carbonate combined with esomeprazole in the treatment of patients with gastric ulcer accompanied by bleeding.Methods A total of 82 patients with gastric ulcer accompanied by bleeding were selected and divided into a control group and a study group by random number table method,each with 41 cases.The control group was treated with esomeprazole,and the study group was treated with magnesium aluminum carbonate combined with esomeprazole.The clinical efficacy,gastrointestinal hormone and levels[serum gastrin(GAS),motilin(MTL)and cholecystokinin(CCK)]and adverse reactions of the two groups were compared.Results The total clinical effective rate of 95.1%in the study group was higher than 78.0%in the control group(P<0.05).After treatment,the study group had GAS of(72.7±8.4)ng/L and CCK of(12.8±2.4)μmol/L,which were lower than(81.2±9.1)ng/L and(15.2±2.5)μmol/L in the control group;MTL of(236.9±26.7)ng/L in the study group was higher than(215.3±20.7)ng/L in the control group(P<0.05).The incidence of adverse reactions 12.2%in the study group was lower than 31.7%in the control group(P<0.05).Conclusion The combination of magnesium aluminum carbonate and esomeprazole in the treatment of gastric ulcer accompanied by bleeding can achieve an ideal effect,it has high safety and is worthy of promotion.

Magnesium aluminum carbonateEsomeprazoleGastric ulcer accompanied by bleedingGastrointestinal hormoneClinical efficacyAdverse reactions

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276300 沂南县人民医院消化内科

铝碳酸镁 艾司奥美拉唑 胃溃疡伴出血 胃肠激素 临床疗效 不良反应

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(22)