首页|铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴胃出血患者的效果

铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴胃出血患者的效果

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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胃出血患者的效果.方法 以72例胃溃疡伴胃出血患者作为研究对象,根据患者入院的先后顺序将其分为对照组(36例)和观察组(36例).对照组选用艾司奥美拉唑治疗,观察组选用铝碳酸镁联合艾司奥美拉唑治疗.比较两组临床疗效,表皮生长因子(EGF)、胃黏膜表面血管内皮生长因子(VEGF)、环氧合酶(COX)]水平,不良反应发生情况.结果 观察组治疗总有效率高于对照组,差异明显(97.22%VS 80.56%,P<0.05).治疗前,两组EGF、VEGF、COX水平比较无统计学差异(P>0.05);治疗后,观察组EGF(286.71±6.14)ng/L、VEGF(142.57±13.25)ng/L、COX(41.37±7.14)U/L均高于对照组的(242.58±6.82)ng/L、(115.64±12.12)ng/L、(26.48±7.35)U/L(P<0.05).观察组不良反应发生率为5.56%,低于对照组的22.22%(P<0.05).结论 铝碳酸镁联合艾司奥美拉唑治疗胃溃疡伴胃出血患者的疗效显著,且不良反应发生率低.
Effect of magnesium aluminum carbonate combined with esomeprazole in the treatment of patients with gastric ulcer accompanied by gastric bleeding
Objective To explore the effect of magnesium aluminum carbonate combined with esomeprazole in the treatment of patients with gastric ulcer accompanied by gastric bleeding. Methods 72 patients with gastric ulcer accompanied by gastric bleeding as study subjects were divided into a control group (36 cases) and an observation group (36 cases) according to the order of admission. The control group was treated with esomeprazole,while the observation group was treated with magnesium aluminum carbonate combined with esomeprazole. The clinical efficacy,epidermal growth factor (EGF),vascular endothelial growth factor (VEGF),cyclooxygenase (COX) levels and adverse reactions of the two groups were compared. Results The total effective rate of the observation group was significantly higher than that of the control group (97.22% VS 80.56%,P<0.05). There were no significant differences in EGF,VEGF and COX levels between the two groups before treatment (P>0.05). After treatment,the observation group had EGF of (286.71±6.14) ng/L,VEGF of (142.57±13.25) ng/L and COX of (41.37±7.14) U/L,which were higher than (242.58±6.82) ng/L,(115.64±12.12) ng/L and (26.48±7.35) U/L in the control group (P<0.05). The incidence of adverse reactions in the observation group was 5.56%,which was lower than 22.22% in the control group (P<0.05). Conclusion Magnesium aluminum carbonate combined with esomeprazole is effective in the treatment of gastric ulcer accompanied by gastric bleeding,and the incidence of adverse reactions is low.

Magnesium aluminum carbonateEsomeprazoleGastric ulcerGastric bleeding

张秀

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221000 徐州市矿山医院消化内科

铝碳酸镁 艾司奥美拉唑 胃溃疡 胃出血

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(23)