欢迎来到天天文库
浏览记录
ID:46438679
大小:71.00 KB
页数:3页
时间:2019-11-23
《幽门螺杆菌治疗功能性消化不良的临床观察》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、幽门螺杆茵治疗功能性消化不良的临床观察作者:陈掰,张月华单位:女徽省祁门县人民医院内科【摘要】目的观察根除幽门螺杆菌(HP)治疗功能性消化不良(FD)患者消化不良症状的疗效。方法HP阳性的FD患者80例随机分为治疗组和对照组。治疗组给予抗HP三联(奥美拉哇、阿莫西林、克拉霉索)治疗1周,同吋给予心理支持治疗;对照组患者给予奥美拉啤或促动力药,根据症状缓解或复发情况用药,亦同时给予心理支持治疗。治疗组停药后4周复查HP。治疗前对所有■患者的症状进行评分,并比较治疗前及随访1年后的症状评分。结果治疗组40例HP
2、根除者34例(85.0%),HP根除者治疗前与治疗后1年消化道症状评分比綾差异有统计学意义(P<0.05);HP耒根除者治疗前与治疗后1年的症状评分比较差异无统计学意义(P>0.05);而HP根除者与对照组治疗厉1年症状评分比较差异无统计学意义(P>0.05)。结&根除HP能明显改善FD的症状,且治疗费用较持续或间断服用PPI或促动力药明显降低,但却能取得同样的疗效。【关键词】幽门螺杆菌;功能性消化不良;治疗Clinicalstudyontheefficacyofhelicobacterpylorierad
3、icationtreatmentinpatientswithfunctionaldyspepsiaCHENChong,ZHANGYuehua.(DepartmentofInternalMedicine,People′sHospitalofQimenCounty,Anhui245600,China)[Abstract]ObjectiveToobserveefficacyofhelicobacterpylorieradicationtreatmentinpatientswithfunctionald
4、yspepsia(FD).MethodsEightyFDpatientswithHPinfectionwererandomlyallocatedintotwogroups:thetreatmentgroupweretreatedwithantiHptripletherapy(omeprazole,anxilandclarithronycin)foroneweekandgivenpsychologicalsupportivetreatmentatthesametimewhilethoseinthecontro
5、lgroupweretreatedwithomeprazoleorpromotilitydrugsaccordingtoconditionofsymptomaticrelieforrecidivation,andpsychologicalsupportivetreatmentwasalsosupplied.ThestatusofHPinfectionweredetenninedafterfourweeksdrugwithdrawalintreatmentgroup.Symptomscoresinthegro
6、upswerecomparedbetweenbeforethetreatmentand1yearafterthetreatment.ResultsTherateofHPeradicationwas85.0%inthetreatmentgroup.Thesymptomscoreinpatientsofpretherapyinthetreatmentgroupwassignificantlydifferentfromthatoneyearaftertheeradicationtherapy(P<0.05);Th
7、esymptomscoreinpatientsinthetreatmentgroupwhofailedHPeradicationhadnostatislicdifferencebetweenbeforethetreatmentandoneyearafterthetreatment(P>0.05);Thesymptomscoreinthetreatmentgroupaftertheeradicationtherapywasnotsignificantlydifferentfromthatinthecontro
8、lgroup(P>0.05).ConclusionThesymptomsofHPpositiveFDpatientscanbeobviouslyimprovedaftertreatmentbyHPeradication.Thetherapycanlowerthemedicalburdenandatthesametimeachievethesametherapeuticeffect.【Keywords】Helico
此文档下载收益归作者所有