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雷贝拉唑联合莫沙必利治疗反流性食管炎患者临床效果观察
Effects of rabeprazole combined with mosapride in the treatment of patients with reflux esophagitis: a clinical observation

内科 202217卷01期 页码:52-54+72

作者机构:1 广州市荔湾区人民医院消化内科,广东省广州市510370;2 广东祈福医院消化内科,广州市511496

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2022.01.14

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  • 参考文献
目的探讨雷贝拉唑联合莫沙必利治疗反流性食管炎患者的临床效果以及不良反应的发生情况。方法选取2018年5月至2020年8月在我院接受治疗的反流性食管炎患者172例为研究对象,采用随机数字法分为对照组和观察组,每组86例。对照组患者给予雷贝拉唑治疗,观察组患者给予雷贝拉唑联合莫沙必利治疗,疗程8周。比较两组患者的临床疗效、胃镜下疗效、临床症状消失时间以及不良反应的发生情况。结果治疗8周,观察组患者的临床治疗总有效率(87.21%)明显高于对照组(67.44%),差异有统计学意义(P<0.05);观察组患者的胃镜下治疗总有效率(91.86%)明显高于对照组(74.42%),差异有统计学意义(P<0.05)。观察组患者的反酸消失时间、胸骨后疼痛消失时间和胸骨后烧灼感消失时间均显著短于对照组,差异有统计学意义(P<0.05)。治疗过程中,观察组患者的不良反应发生率(12.79%)略高于对照组(11.63%),但差异无统计学意义(P>0.05)。结论雷贝拉唑联合莫沙必利治疗反流性食管炎患者的临床疗效显著,可有效改善患者症状,提高患者的临床疗效,治疗安全性良好。
ObjectiveTo observe the clinical effects of rabeprazole combined with mosapride in the treatment of patients with reflux esophagitis and the occurrence of adverse reactions. MethodsA total of 172 patients with reflux esophagitis who were treated in our hospital from May 2018 to August 2020 were selected as the research objects. According to the random number method, the patients were divided into control group and observation group, with 86 cases in each group. The control group was treated with rabeprazole, and the observation group was treated with rabeprazole combined with mosapride, for an 8-week treatment course. The clinical efficacy, gastroscopic efficacy, clinical symptom disappearance time and adverse reactions of the two groups were compared. ResultsAfter 8 weeks of treatment, the total effective rate of clinical treatment in the observation group (87.21%) was significantly higher than that in the control group (67.44%), with a statistically significant difference (P<0.05). The total effective rate of gastroscopic treatment in the observation group (91.86%) was significantly higher than that in the control group (74.42%), with a statistically significant difference (P<0.05). The disappearance time of acid regurgitation, retrosternal pain and retrosternal burning sensation of patients in the observation group were significantly shorter than those of the control group, with statistically significant differences (P<0.05). During the treatment, the occurrence of adverse reactions in the observation group (12.79%) was slightly higher than that in the control group (11.63%), but the difference was not statistically significant (P>0.05). ConclusionThe application of rabeprazole combined with mosapride in reflux esophagitis achieved significant clinical efficacy. It can effectively improve the symptoms and clinical efficacy of patients, and has good therapeutic safety.

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