|
|
Effect of Pantoprazole on the prevention of stress ulcer following acute severe head injury |
QIN Hua-ping MA Tao YANG Chang-chun ZHOU Jian-jun SHI Yi-min |
Department of Neurosurgery,the Third Hospital Affiliated of Soochow University,Suzhou 213003,China |
|
|
Abstract ObjectiveTo explore the preventive effect of Pantoprazole injury complicated with stress ulcer in patients with acute severe traumatic brain.Methods162 patients with acute severe craniocerebral injury form January 2011 to December 2015 in our hospital were selected and divided into Cimetidine group and Pantoprazole group,81 cases in each group.Two groups of patients were given oxygen,dehydration of intracraninal pressure,control of blood pressure,nutrishing brain cell,prevention of infection maintain water and electrolyte balance and other support treatment,it is necessary to patients with indwelling gastric tube,continuous gastrointestinal decompression.The Cimetidine group was given cimetidine in prevention of stress ulcer on the basis of routine treatment,the Pantoprazole group was given Pantoprazole with the prevention of stress ulcer on the basis of routine treatment.The changes of gastric acid pH and the incidence of stress ulcer were analyzed and compared between the two groups.ResultsAfter treatment of Cimetidine group and Pantoprazole group were significantly compared with admission,the pH value of gastric juice increased,the difference was significant(P<0.05),and the Pantoprazole group in the pH value of gastric juice before and after eating was more stable than that of Cimetidine group.Pantoprazole group of stress ulcer incidence compared with Cimetidine group decreased significantly (P<0.05).ConclusionPantoprazole sustained inhibition of gastric acid secretion,increased acid pH,protect gastric mucosa,the incidence rate of injury can prevent stress ulcer complicated with acute severe traumatic brain.
|
|
|
|
|
[1] |
王忠诚.神经外科学[M].武汉:湖北科学技术出版社,2005:400-401.
|
[2] |
江基尧,朱诚,罗其中.颅脑损伤临床救治指南[M].3版,上海:第二军医大学出版社,2007:170-173.
|
[3] |
赵宏军,张晓苹.早期肠内营养联合质子泵抑制剂对脑卒中应激性溃疡的防治作用研究[J].中国全科医学,2011,14(11A):3586-3587.
|
[4] |
Talving P,Benfield R,Hadjizacharia P,et al.Coagulopathy in severe traumatic brain injurya prospective study[J].J Trauma,2009,66(2):55.
|
[5] |
Alain-Pascal BB,Wei HJ,Chen X,et al.Evaluation of stess hormones in traumatic brain injury patients with gastrointestinal bleeding[J].Chin J Traumatol,2010,13(2):25.
|
[6] |
Pillkington KB,wagstaff MJ,Greenwood JE.PreVention of gastroinlestinal bleeding due to stress ulceLation:a review of current literature[J].Anaesth Inten Care,2012,40(4):253-259.
|
[7] |
Alhazzani W,Alenezi F,Jaeschke RZ,et al.Proton pump inhibitors versus histamine 2 receptor antagonists for stress ulcer prophylaxis in critically ill patients:a systematic review and meta-analysis[J].Crit Care Med,2013,41(4):693-705.
|
[8] |
周祥,张洪涛,袁国艳,等.重度颅脑损伤并发应激性溃疡出血的机制及治疗[J].中国实用神经疾病杂志,2013,12 (8):22-24.
|
[9] |
Marik PE,Vasu T,Hirani A,et al.Stress ulcer prophylaxis in the new millennium:a systematic review and meta-analysis[J].Crit Care Med,2014,38(11):2222-2228.
|
[10] |
陈锋,蒋佩琴,梁建娜,等.兰索拉唑与奥美拉唑预防急性原型颅脑损伤患者应激性溃疡的疗效比较[J].中国当代医药,2014,21(6):78-79.
|
[11] |
石剑峰.应激性溃疡防治的研究进展[J].现代预防医学,2013,10(1):166-170.
|
[12] |
苏晨方,马越.奥美拉唑在急性重型颅脑损伤中的应用[J].中华消化杂志,2015,19(1):31-33.
|
[13] |
王吉耀.内科学[M].2版.北京:人民卫生出版社,2010:444.
|
[14] |
刘宇宏,王世鑫.近年来质子泵抑制剂的研究进展[J].中国新药杂志,2015,10(3):161-164.
|
[15] |
王吉耀.泮托拉唑预防急性脑梗死并发应激性溃疡的疗效观察[J].临床合理用药,2014,22(4):11-13.
|
[16] |
陈锋,蒋佩琴,梁建娜.泮托拉唑与奥美拉唑预防急性重型颅脑损伤患者应激性溃疡的疗效比较[J].中国当代医药,2015,16(3):141-144.
|
|
|
|