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1、阿托品合奥美拉哇治疗急性胃炎的临床体会王文娟李振华(河南推拿职业学院河南洛阳471023)【摘要】目的:观察分析急性胃炎患者采用阿托品和奥美拉唑联合治疗的临床体会。方法:将83例急性胃炎患者按照入院就诊顺序随机分为研究组和对照组,分别采用山從菪碱和奥美拉唑联合治疗以及阿托品和奥美拉唑联合治疗,将两组患者临床症状改善时间、临床治疗效果以及不良反应发生率进行对比分析。结果:研究组患者恶心呕吐、腹部绞痛、腹泻等临床症状改善时间明显短于对照组(P<0.05)。研宄组患者治疗总有效率为97.6%,对照组治疗总有效率为85.4%,研究组治疗疗效相对于对照
2、组更加突出(P<0.05)o研究组头痛、心悸、口干等不良反应发生率(14.3%)和对照组(17.1%)差异对比并不存在统计学意义(P>0.05)。结论:急性胃炎患者采用阿托品和奥美拉唑联合治疗的临床效果相对较好,可有效改善患者的临床症状,且不良反应较轻,可在临床上广泛推广。【关键词】急性胃炎;奥美拉唑;阿托品;临床体会【中图分类号】R453【文献标识码】A【文章编号】2095-1752(2015)13-0029-03Atropinecombinedomeprazoleinthetreatmentofacutegastritisclini
3、calexperienceWangWenjuan,LiZhenhua.MassageVocationalCollegeofHe’nan,HenanProvince,Luoyang471023,China【Abstract】ObjectiveAnalysisoftheclinicalexperienceforcombinationtherapyofacutegastritisthatuseAtropineandOmeprazole.Methods83casesofacutegastritispatientswererandomlydivi
4、dedintoresearchgroupandthecontrolgroup,respectivelywithanisodamineandomeprazolecombinedtreatment,andatropineandomeprazolecombinedtreatment.Comparativeanalysisoftwogroupsofpatientswithclinicalsymptomsimprovetimeandtreatmenteffect,andtheincidenceofadversereactions.ResultsAboutth
5、eimprovementofclinicalsymptoms,includingnauseaandvomiting,abdominalcramps,diarrheaandsoon,theresearchgroupwassignificantlyshorterthanthecontrolgroup(P<0.05).fortotaleffectiverate,theresearchgroupwas97.6%,thecontrolgroupwas85.4%,theresearchgrouphigherthanthecontrolgroup(P<
6、;0.05).Adversereactionsforheadache,palpitation,drymouth,occurrencerateoftheresearchgroupwas(14.3%),andcontrolgroupwas(17.1%),thedifferencewasnotstatisticallysignificant(P>0.05).ConclusionsAcutegastritisweretreatedbyatropineandomeprazolecombinedtreatment,clinicaleffectisrela
7、tivelygood,whichcaneffectivelyimprovetheclinicalsymptomsofpatients.Adversereactionislighter,canbewidelyappliedinclinic..【Keywords】Acutegastritis;Omeprazole;Atropine;Clinicalexperience急性胃炎是较为常见的一种消化内科疾病,该病的发病机理相对比较复杂,0前临床并没有研宄出明确的发病机制,但是大多数与化学因素、生物因素、物理因素等多方面因素有关[1】。急性胃炎的发病率较高,
8、主要表现为烧灼、反酸、腹痛等临床症状,给患者造成很大的痛苦,0前临床上主要采用抑酸药物以及解痉药物治疗,近年来我院对急性胃