首页|米曲菌胰酶片辅助治疗对功能性消化不良患者胃排空率和消化功能的影响

米曲菌胰酶片辅助治疗对功能性消化不良患者胃排空率和消化功能的影响

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目的 探究米曲菌胰酶片辅助治疗对功能性消化不良患者胃排空率和消化功能的影响。方法 选取浙江新安国际医院2019年1月至2022年1月收治的106例功能性消化不良患者,根据治疗方法将患者分为常规治疗组(53例)和联合治疗组(53例)。其中,常规治疗组口服枸橼酸莫沙必利片治疗2个月,联合治疗组在常规治疗基础上联合米曲菌胰酶片治疗2个月。对比2组患者治疗前后临床疗效、消化不良症状严重程度指数(DSSI)量表评分、血清胃蛋白酶原(PG)Ⅰ、PGⅡ、胃泌素-17(G-17)、胃排空率和不良反应发生率。结果 联合治疗组临床治疗总有效率比常规治疗组高,差异有统计学意义(P<0。05);治疗后,2组患者(PG)Ⅰ、PGⅡ、G-17水平均较治疗前升高。联合治疗组患者DSSI量表评分低于常规治疗组,血清PGⅠ、PGⅡ、G-17水平高于常规治疗组,差异有统计学意义(P<0。05);治疗前,2组胃排空率差异无统计学意义(P>0。05),治疗后,联合治疗组患者胃排空率高于常规治疗组,差异有统计学意义(P<0。05);治疗后,2组患者不良反应差异无统计学意义(P>0。05)。结论 米曲菌胰酶片辅助治疗功能性消化不良能有效改善患者临床症状,提高胃排空率。
Effect of adjuvant treatment with Aspergillus oryzae on gastric emptance and digestive function in pa-tients with functional dyspepsia
Objective To explore the effects of adjuvant therapy with Aspergillus oryzae on gastric empty-ing rate and digestive function in patients with functional dyspepsia.Methods A total of 106 patients with func-tional dyspepsia(FD)admitted to Xin'an International Hospital were enrolled from January 2019 and January 2022.According to treatment method,they were divided into a conventional treatment group(53 cases)and a com-bined treatment group(53 cases).The conventional treatment group was treated with mosapride citrate tablets,while the combined treatment group was additionally treated with Aspergillus oryzae pancreatin tablets for 2 months based on the conventional treatment.The clinical efficacy,dyspeptic symptom severity index(DSSI)score,pepsinogen(PG)Ⅰ,PG Ⅱ,gastrin-17(G-17),gastric emptying rate and incidence of adverse reactions were com-pared between the two groups before and after treatment.Results The total effective rate of clinical treatment in the combined treatment group was higher than that in conventional treatment group,and the difference was statis-tically significant(P<0.05).After treatment,levels of serum biochemical indexes(PG Ⅰ,PG Ⅱ,G-17)were in-creased in both groups,which were higher in combined treatment group than conventional treatment group(P<0.05).After treatment,DSSI scale scores in the combined treatment group was lower than those in the conventional treatment group(P<0.05).The levels of serum PG Ⅰ,PG Ⅱ,and G-17 in the combined treatment group were high-er than those in the conventional treatment group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in gastric emptying rate between the two groups(P>0.05).After treat-ment,the gastric emptying rate in the combined treatment group was higher than that in the conventional treat-ment group,and the difference was statistically significant(P<0.05).After treatment,there was no significant dif-ference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion The adjuvant thera-py with Aspergillus oryzae can effectively improve clinical symptoms and increase gastric emptying rate in FD pa-tients.

Aspergillus oryzaeDyspepsiaPepsinogens

陈勇、郑霞、陈中原、俞菊英、南瑛

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浙江新安国际医院消化内科,浙江嘉兴 314000

浙江大学邵逸夫医院消化科,浙江杭州 310000

米曲菌胰酶片 消化不良 胃蛋白酶原类

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(1)
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