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尿囊素铝联合雷贝拉唑治疗活动期胃溃疡的疗效观察
Observation of the Effect of Allantoin Aluminum Combined with Rabeprazole in the Treatment of Active Gastric Ulcer
  
DOI:
中文关键词:  尿囊素铝  雷贝拉唑  胃溃疡  溃疡愈合质量
英文关键词:Allantoin aluminum  Rabeprazole  Gastrohelcosis  Quality of ulcer healing
基金项目:2010年丽水市第二批医学重点科技项目(编号:2010011)
作者单位
汤强 云和县人民医院(浙江丽水 323000) 
黎红光 丽水市人民医院 
吴明东 丽水市人民医院 
林慧萍 丽水市人民医院 
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中文摘要:
      摘 要 目的:观察尿囊素铝联合雷贝拉唑治疗活动期胃溃疡的临床疗效、药品不良反应及3个月溃疡复发情况。方法:106例幽门螺杆菌(Hp)感染的活动期胃溃疡患者随机分为观察组53例和对照组53例(其中1例失访)。观察组:第1周Hp根除三联方案(雷贝拉唑+阿莫西林+克拉霉素);第2~6周,雷贝拉唑10 mg,po qd,尿囊素铝200 mg,po tid;对照组:第1周Hp根除三联方案(雷贝拉唑+阿莫西林+克拉霉素);第2~6周,雷贝拉唑10 mg,po qd。治疗6周末行胃镜检查及病理检查,随访所有患者3个月溃疡复发率。结果: 治疗6周后,观察组临床症状总有效率明显高于对照组(P<0.05);观察组胃黏膜活动性炎症改善程度显著优于对照组(P<0.05),两组胃镜评估疗效的差异有统计学意义(P<0.05)。两组不良反应轻微。随访3个月后,观察组溃疡复发率低于对照组(P<0.05)。结论:尿囊素铝联合雷贝拉唑治疗活动性胃溃疡能提高临床疗效,缓解临床症状,促进炎症消退,提高溃疡愈合质量,减少溃疡复发率,且安全性好,值得临床使用。
英文摘要:
      ABSTRACT Objective:To observe the clinical symptoms,the endoscopic mucosal changing condition,and the rate of ulcer recurrence in 3 months of allantoin aluminum combined with rabeprazole in treatment of active period gastric ulcer. Methods:106 cases of Hp infection in patients with active period gastric ulcer were randomly divided into observation group(53 cases)and control group(52 cases were followed up for 3 months, and 1 case was lost). Observation group: in first weeks, given triple treatment eradicating Hp (rabeprazole, amoxicillin, clarithromycin),from second to sixth weeks,rabeprazole every time 10 mg,qd, combined with allantoin aluminum tablets every time 200 mg,tid,po.Control group :in first week,given triple treatment eradicating Hp (rabeprazole, amoxicillin, clarithromycin),from second to sixth weeks ,rabeprazole every time 10 mg,qd, po. Gastroscopy and pathological examination were given after 6 weeks treatment, the ulcer recurrence rate were followed up on all patients after 3 months . Results:After 6 weeks of treatment, comparison of the clinical symptoms, total effective rate of observation group was obviously higher than that in control group(P<0.05), the endoscopic therapeutic effect of observation groups was significantly better than the control group(P<0.05). The inflammatory mucosa of gastric activity of observation group was significantly improved than that in control group(P<0.05).The ulcer recurrence rate in observation group was lower than that in control group after 3 months follow up(P<0.05). Conclusion:Allantoin aluminum combined with rabeprazole in the treatment of active gastric ulcer,it can improve the clinical treatment effect, relieve symptoms, promote inflammation subsided, increase the quality of ulcer healing, reduce the rate of ulcer recurrence,and has good safety, it is worth clinical application.
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