当前位置: 首页 > 医疗版 > 疾病专题 > 消化内科 > 胃疾病 > 胃溃疡
编号:13244506
比较奥美拉唑与兰索拉唑治疗胃溃疡的临床疗效(1)

     【摘 要】目的:探讨奥美拉唑与兰索拉唑治疗胃溃疡的临床疗效。方法:选择2015年1月-2017年12月胃溃疡患者100例根据治疗方法分组。对照组给予奥美拉唑治疗,观察组则给予兰索拉唑治疗。比较两组疾病治疗有效率;胃溃疡愈合时间、腹痛消失时间、腹胀消失时间;治疗前后患者生活质量水平。结果:观察组疾病治疗有效率高于对照组,P<0.05;观察组胃溃疡愈合时间、腹痛消失时间、腹胀消失时间短于对照组,P<0.05;治疗前两组生活质量水平相近,P>0.05;治疗后观察组生活质量水平优于对照组,P<0.05。结论:兰索拉唑治疗胃溃疡的应用效果确切,可有效改善血压,加速血压达标,且无严重不良反应,安全有效,值得推广应用。

    【关键词】奥美拉唑;兰索拉唑;胃溃疡;临床疗效

    Abstract:Objective: To investigate the clinical efficacy of omeprazole and lansoprazole in treating gastric ulcer. Methods: 100 patients with gastric ulcer in December January 2015 -2017 were selected according to the treatment group. The control group was given omeprazole treatment, the observation group was treated with lansoprazole treatment. The effective rate of disease treatment, the healing time of gastric ulcer, the time of abdominal pain disappear and the time of abdominal distension were compared between the two groups, and the quality of life of patients before and after treatment was also compared. Results: the effective rate of disease treatment in the observation group was higher than that of the control group, P < 0.05. The healing time of gastric ulcer, the disappearance time of abdominal pain and the disappearance time of abdominal distension were shorter than that of the control group, P < 0.05; the quality of life of the two groups before the treatment was similar, P > 0.05, and the quality of life of the observation group was better than that of the control group, P < 0.05. Conclusion: the effect of lansoprazole in the treatment of gastric ulcer is accurate. It can effectively improve blood pressure, accelerate blood pressure to reach the standard, and have no serious adverse reaction. It is safe and effective. It is worth popularizing.

    keyword: Omeprazole; lansoprazole; gastric ulcer; clinical curative effect

    【中圖分类号】R573.1 【文献标识码】B 【文章编号】1005-0019(2018)03-00-01

    胃溃疡为常见多发消化系统疾病,其发生和幽门螺杆菌感染之间关系密切,因此治疗胃溃疡关键在于幽门螺杆菌的根除,以改善症状,降低复发率,加速溃疡愈合[1]。本研究分析了兰索拉唑治疗胃溃疡的应用效果,报告如下。

    1 资料与方法

    1.1 一般资料

    选择2015年1月-2017年12月胃溃疡患者100例根据治疗方法分组。观察组男21例,女29例;年龄27-58岁,平均(38.21±4.13)岁。对照组男23例,女27例;年龄28-57岁,平均(38.66±4.12)岁。两组一般资料无统计学差异。

    1.2 方法

    两组均给予阿莫西林1g/次,2次/d。甲硝唑0.4g/次,餐后服用,2次/d。枸橼酸铋220mg/次,2次/d。治疗4周。在此基础上,对照组给予奥美拉唑治疗,剂量为20mg/次,2次/d。口服治疗,治疗4周。观察组则给予兰索拉唑治疗。剂量为20mg/次,2次/d。治疗4周。

    1.3 观察指标 比较两组疾病治疗有效率;胃溃疡愈合时间、腹痛消失时间、腹胀消失时间;治疗前后患者生活质量水平(用胃肠疾病生活质量(GIQLI)量表评价,越低越好)。

    显效:症状显著改善或消失,幽门螺杆菌根除,溃疡愈合;有效:症状改善,溃疡有所缩小;无效:达不到上述标准。疾病治疗有效率为显效、有效百分率之和[2]。

    1.4 统计学方法 SPSS15.0统计,为计量资料并作t检验,%表示计数资料作检验,P<0.05显示差异显著。(艾广凤)
1 2下一页


    参见:首页 > 医疗版 > 疾病专题 > 消化内科 > 胃疾病 > 胃溃疡     濠电姷鏁搁崕鎴犲緤閽樺娲偐鐠囪尙顦┑鐘绘涧濞层倝顢氶柆宥嗙厱婵炴垵宕弸銈嗐亜閳哄啫鍘撮柡灞剧☉閳藉宕¢悙宸骄闂佸搫顦弲婊兾涢崘顔艰摕婵炴垶菤閺嬪酣鐓崶銊﹀皑闁稿鎸荤粋鎺斺偓锝庝簽閸旓箑顪冮妶鍡楀潑闁稿鎹囬弻娑㈡偐瀹曞洢鈧帗淇婇崣澶婂闁宠鍨垮畷鍫曞煘閻愵剛浜欓梺璇查缁犲秹宕曢崡鐐嶆稑鈽夐姀鐘靛姦濡炪倖甯掗ˇ顖炴倶閿旂瓔娈介柣鎰▕閸庢梹顨ラ悙鍙夊枠妞ゃ垺妫冨畷銊╊敇閻愰潧鎼稿┑鐘垫暩閸嬬娀骞撻鍡楃筏闁诡垼鐏愬ú顏勭闁绘ê鍚€缁楀姊洪幐搴g畵闁瑰嘲顑夊畷鐢稿醇濠㈩亝妫冮弫鍌滅驳鐎n亜濡奸梻浣告憸閸嬬偤骞愰幎钘夎摕闁哄洢鍨归獮銏ゆ煛閸モ晛孝濠碘€茬矙閺岋綁濮€閳轰胶浠╃紓鍌氱Т閿曨亪鐛繝鍥ㄦ櫢闁绘ǹ灏欓悿鈧俊鐐€栭幐楣冨磻閻斿摜顩烽柟鎵閳锋垿鏌涢敂璇插笌闁荤喐鍣村ú顏勎ч柛銉厛濞肩喖姊洪崘鍙夋儓闁瑰啿姘︾换姘舵⒒娴e懙褰掑嫉椤掑倻鐭欓柟鐑橆殕閸婂灚銇勯弬鍨挃缁炬儳銈搁弻锟犲礃閵娿儮鍋撶粙鎸庢瘎婵犵數濮幏鍐礋閸偆鏉归柣搴㈩問閸犳牠鎮ラ悡搴f殾婵せ鍋撳┑鈩冪摃椤︽娊鏌涢幘鏉戠仸缂佺粯绋撻埀顒佺⊕宀e潡鎯屾繝鍋芥棃鎮╅崣澶嬪枑闂佽桨绶¢崳锝夈€侀弴銏℃櫆闁芥ê顦介埀顒佺☉閳规垿鏁嶉崟顐$捕婵犫拃鍛珪缂侇喗鐟︾换婵嬪炊閵娧冨箰濠电姰鍨煎▔娑㈡晝閵堝姹查柡鍥╁枑閸欏繘鏌i悢鐓庝喊婵☆垪鍋撻梻浣芥〃缁€浣虹矓閹绢喗鍋╂繝闈涱儏缁€鍐┿亜椤撶喎鐏i柟瀵稿厴濮婄粯鎷呯粵瀣異闂佸摜濮甸幑鍥х暦濠靛﹦鐤€婵炴垼椴搁弲锝囩磽閸屾瑧鍔嶅畝锝呮健閸┿垽寮崼鐔哄幗闂佺懓顕崕鎴炵瑹濞戙垺鐓曢柡鍌氱仢閺嗭綁鏌″畝瀣瘈鐎规洘甯掗~婵嬵敇閻橀潧骞€缂傚倸鍊烽悞锕傘€冮崨姝ゅ洭鏌嗗鍛姦濡炪倖甯掗崰姘缚閹邦喚纾兼い鏃囧亹缁犲鏌ㄥ┑鍫濅槐闁轰礁鍟村畷鎺戭潩閸楃偞鎲㈤梻浣藉吹婵炩偓缂傚倹鑹鹃埢宥夋晲閸モ晝鐓嬮梺鍓茬厛閸犳捇鍩€椤掍礁绗掓い顐g箞椤㈡﹢鎮╅锝庢綌闂傚倷绶氬ḿ褍煤閵堝悿娲Ω閳轰胶鍔﹀銈嗗笒閸嬪棝寮ㄩ悧鍫㈢濠㈣泛顑囧ú瀵糕偓瑙勬磸閸ㄨ姤淇婇崼鏇炵倞闁靛ǹ鍎烘导鏇㈡煟閻斿摜鐭屽褎顨堥弫顔嘉旈崪鍐◤婵犮垼鍩栭崝鏍磻閿濆鐓曢柕澶樺灠椤╊剙鈽夐幘鐟扮毢缂佽鲸甯楀ḿ蹇涘Ω瑜忛悾濂告⒑瑜版帩妫戝┑鐐╁亾闂佽鍠楃划鎾诲箰婵犲啫绶炲璺虹灱濮婄偓绻濋悽闈涗粶妞ゆ洦鍘介幈銊︺偅閸愩劍妲梺鍝勭▉閸樺ジ宕归崒鐐寸厪濠电偟鍋撳▍鍡涙煕鐎c劌濡奸棁澶愭煥濠靛棙鍣归柡鍡欏枑娣囧﹪顢涘鍗炩叺濠殿喖锕ュ浠嬨€侀弴銏℃櫜闁糕剝鐟﹂濠氭⒒娴h櫣甯涢柟纰卞亞閹广垹鈹戠€n剙绁﹂柣搴秵閸犳牜绮婚敐鍡欑瘈濠电姴鍊搁顐︽煙閺嬵偄濮傛慨濠冩そ楠炴劖鎯旈敐鍌涱潔闂備礁鎼悧婊堝礈閻旈鏆﹂柣鐔稿閸亪鏌涢弴銊ュ季婵炴潙瀚—鍐Χ閸℃鐟愰梺缁樺釜缁犳挸顕i幎绛嬫晜闁割偆鍠撻崢閬嶆⒑閻熺増鎯堢紒澶嬫綑閻g敻宕卞☉娆戝帗閻熸粍绮撳畷婊冾潩椤掑鍍甸梺闈浥堥弲婊堝磻閸岀偞鐓ラ柣鏂挎惈瀛濋柣鐔哥懕缁犳捇鐛弽顓炵妞ゆ挾鍋熸禒顖滅磽娴f彃浜炬繝銏f硾閳洝銇愰幒鎴狀槯闂佺ǹ绻楅崑鎰枔閵堝鈷戠紓浣贯缚缁犳牠鏌i埡濠傜仩闁伙絿鍏橀弫鎾绘偐閼碱剦妲伴梻浣藉亹閳峰牓宕滃棰濇晩闁硅揪闄勯埛鎴︽偣閸ワ絺鍋撻搹顐や簴闂備礁鎲¢弻銊︻殽閹间礁鐓濋柟鎹愵嚙缁狅綁鏌i幇顓熺稇妞ゅ孩鎸搁埞鎴︽偐鐠囇冧紣闂佸摜鍣ラ崹鍫曠嵁閸℃稑纾兼慨锝庡幖缂嶅﹪骞冮埡鍛闁圭儤绻傛俊閿嬬節閻㈤潧袥闁稿鎹囬弻鐔封枔閸喗鐏撶紒楣冪畺缁犳牠寮婚悢琛″亾閻㈢櫥鐟版毄闁荤喐绮庢晶妤呮偂閿熺姴钃熸繛鎴欏灩缁犳娊鏌¢崒姘辨皑闁哄鎳庨埞鎴︽倷閸欏娅i梻浣稿簻缁茬偓绌辨繝鍥х妞ゆ棁濮ゅ▍銏ゆ⒑鐠恒劌娅愰柟鍑ゆ嫹

   闂備浇顕уù鐑藉极婵犳艾纾诲┑鐘叉搐缁愭鏌¢崶鈺佹灁闁崇懓绉撮埞鎴︽偐閸欏鎮欏┑鈽嗗亝閿曘垽寮诲☉銏犖ㄩ柕蹇婂墲閻濇牠鎮峰⿰鍐ㄧ盎闁瑰嚖鎷�  闂傚倸鍊烽懗鑸电仚缂備胶绮〃鍛村煝瀹ュ鍗抽柕蹇曞У閻庮剟姊虹紒妯哄闁稿簺鍊濆畷鏇炵暆閸曨剛鍘介梺閫涘嵆濞佳勬櫠椤斿浜滈幖鎼灡鐎氾拷  闂傚倷娴囧畷鍨叏閺夋嚚娲Χ閸ワ絽浜炬慨妯煎帶閻忥附銇勯姀锛勬噰妤犵偛顑夐弫鍐焵椤掑倻鐭嗛柛鏇ㄥ灡閻撶喐淇婇婵愬殭缂佽尪宕电槐鎾愁吋韫囨柨顏�  闂傚倸鍊烽懗鍫曞箠閹捐瑙﹂悗锝庡墮閸ㄦ繈骞栧ǎ顒€濡肩痪鎯с偢閺屾洘绻涢悙顒佺彅闂佸憡顨嗘繛濠囧蓟閳╁啫绶為悗锝庝簽閸旂ǹ鈹戦埥鍡楃伈闁瑰嚖鎷�