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中国当代医药  2020, Vol. 27 Issue (33): 47-49    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
艾司奥美拉唑治疗消化性溃疡并急性上消化道出血的临床效果
黄晓静 罗立媛 钟华文
广东省阳江市中医医院内二科,广东阳江 529500
Clinical effect of Esomeprazole in the treatment of peptic ulcer with acute upper gastrointestinal hemorrhage
HUANG Xiao-jing LUO Li-yuan ZHONG Hua-wen#br#
The Second Department of Internal Medicine,Yangjiang Traditional Chinese Medicine Hospital,Guangdong Province,Yangjiang 529500,China
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摘要 目的 观察艾司奥美拉唑治疗消化性溃疡并急性上消化道出血的临床效果。方法 选取2018年6月~2019年12月阳江市中医医院收治的120例消化性溃疡并急性上消化道出血患者作为研究对象,按照随机数字表法将其分为观察组(60例)与对照组(60例),对照组采用奥美拉唑治疗,观察组采用艾司奥美拉唑治疗。比较两组治疗前后空腹胃液pH值、临床症状消失时间及总有效率。结果 两组治疗前空腹胃液pH值比较,差异无统计学意义(P>0.05),观察组治疗后空腹胃液pH值高于对照组,差异有统计学意义(P<0.05);观察组患者止血时间、停止呕血时间、大便转黄时间均短于对照组,差异有统计学意义(P<0.05);观察组患者治疗总有效率为95.0%,高于对照组的75.0%,差异有统计学意义(P<0.05)。结论 艾司奥美拉唑治疗消化性溃疡并急性上消化道出血,可改善患者临床症状,提高胃液pH值,疗效可靠,可予以推广。
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关键词 艾司奥美拉唑消化性溃疡急性上消化道出血胃液pH    
AbstractObjective To observe the clinical effect of Esomeprazole in the treatment of peptic ulcer with acute upper gastrointestinal hemorrhage.Methods From June 2018 to December 2019,a total of 120 patients with peptic ulcer and acute upper gastrointestinal hemorrhage treated in Yangjiang Traditional Chinese Medicine Hospital were selected as the research objects.According to the random number table wethod,they were divided into observation group (60 cases)and control group (60 cases).The control group was treated with Omeprazole and the observation group was treated with Esomeprazole.The pH value of fasting gastric juice before and after treatment,the disappearance time of clinical symptoms and the total effective rate of the two groups were compared.Results There was no statistically significant difference in fasting gastric juice pH value between the two groups before treatment (P>0.05),and fasting gastric juice pH value of the observation group was higher than that of the control group after treatment,the difference was statistically significant (P<0.05);the time of hemostasis,stopping hematemesis and turning yellow stool in the observation group was shorter than that in the control group,the differences were statistically significant (P<0.05);the total effective rate of the observation group was 95.0%,which was higher than 75.0% of the control group,the difference was statistically significant(P<0.05).Conclusion Esomeprazole can improve the clinical symptoms and increase the pH value of gastric juice of patients with peptic ulcer and acute upper gastrointestinal hemorrhage,the effect is reliable and can be popularized.
Key wordsEsomeprazole    Peptic ulcer    Acute upper gastrointestinal hemorrhage    pH of gastric juice
    
作者简介: 黄晓静(1987-),女,广东阳江人,本科,主治医师,研究方向:消化系统疾病的临床诊断与治疗
引用本文:   
黄晓静;罗立媛;钟华文. 艾司奥美拉唑治疗消化性溃疡并急性上消化道出血的临床效果[J]. 中国当代医药, 2020, 27(33): 47-49.
HUANG Xiao-jing;LUO Li-yuan;ZHONG Hua-wen. Clinical effect of Esomeprazole in the treatment of peptic ulcer with acute upper gastrointestinal hemorrhage. 中国当代医药, 2020, 27(33): 47-49.
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