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1. 达州中医药职业学院基础医学部
2. 成都中医药大学基础医学院
纸质出版日期:2020,
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[1]邓娅,黄更珍.雷贝拉唑联合多潘立酮及心理干预治疗糜烂性食管炎的疗效观察[J].西南医科大学学报,2020,43(06):591-595.
DENG Ya, HUANG Gengzhen. Clinical effect of rabeprazole combined with domperidone and psychological intervention on the treatment of erosive esophagitis[J]. Journal of Southwest Medical University, 2020,43(6):591-595.
目的:探讨雷贝拉唑联合多潘立酮治疗糜烂性食管炎(erosive esophagitis
EE)的疗效。方法:将120例EE患者分为2组
治疗组60例
给予雷贝拉唑肠溶胶囊20 mg
qd
口服;多潘立酮片10 mg
tid
口服。同时对患者进行集中心理干预
qw
每次30 min
指导患者进行心理调节
增强治疗信心
消除对疾病的恐惧心理。对照组60例
泮托拉唑肠溶胶囊40 mg
qd
口服。两组疗程均为8周
治疗前后均做胃镜检查
并观察患者症状缓解情况。结果:经过8周的治疗
治疗组患者的症状改善有效率95.00%
明显高于对照组的83.33%(P <0.05);症状积分比较
经过8周治疗后
治疗组治疗前、治疗后1个月、治疗后2个月症状积分分别为(16.34±4.26)、(9.87±3.22)、(6.84±3.13)
对照组分别为(16.75±5.01)、(11.85±2.69)、(9.53±2.87)
治疗后1个月、2个月症状积分显著低于对照组(P <0.001);胃镜复查治疗组总有效率为90.0%
高于对照组的75.0%
两组比较差异有统计学意义(P <0.05)。结论:雷贝拉唑结合多潘立酮及心理干预治疗糜烂性食管炎效果良好。
Objective:To investigate the clinical effect of rabeprazole combined with domperidone on the treatment of erosive esophagitis(EE).Methods:A total of 120 patients with EE were divided into treatment group and control group
with 60 patients in each group.The patients in the treatment group were given oral administration of rabeprazole enteric-coated capsules 20 mg qd and domperidone tablets 10 mg tid
as well as psychological intervention once every week
for 30 minutes each time
to guide psychological adjustment
enhance their confidence in treatment
and eliminate their fear of the disease; the patients in the control group were given oral administration of pantoprazole enteric-coated capsules 40 mg qd.The course of treatment was 8 weeks for both groups; gastroscopy was performed before and after treatment
and the remission of symptoms was observed for all patients.Results:After 8 weeks of treatment
the treatment group had a significantly higher rate of symptom relief than the control group(95.00% vs 83.33%
P < 0.05).As for the comparison of symptom score
the treatment group had a symptom score of 16.34 ± 4.26 before treatment
9.87 ± 3.22 at 1 month after treatment
and 6.84 ± 3.13 at 2 months after treatment
while the control group had a symptom score of 16.75 ± 5.01 before treatment
11.85 ± 2.69 at 1 month after treatment
and 9.53 ± 2.87 at 2 months after treatment; the treatment group had a significantly lower symptom score than the control group at 1 and 2 months after treatment(P < 0.001).Reexamination of gastroscopy showed that the treatment group had a significantly higher overall response rate than the control group(90% vs 75%
P < 0.05).Conclusion:Rabeprazole combined with domperidone and psychological intervention has a good clinical effect in the treatment of EE.
雷贝拉唑多潘立酮食管炎心理干预
RabeprazoleDomperidoneEsophagitisPsychological intervention
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