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宜宾市第二人民医院消化内科
纸质出版日期:2009,
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[1]陈忠华,何庆玲,陈杨.抑酸和促动力药物对真菌性食管炎的临床疗效和病理转归分析[J].重庆医科大学学报,2009,34(06):769-771.
CHEN Zhong-hua, et al. Clinical and pathological effect of acid inhibitory drugs and prokinetic agents for mycotic esophagitis[J]. Journal of Chongqing Medical University, 2009,34(6):769-771.
目的:观察抑酸和促动力药物治疗真菌性食管炎的疗效。方法:将60例轻、中度真菌性食管炎病人随机分为2组:实验组(30例)给予抑酸和促动力等药物治疗;阳性对照组(30例)给予抗真菌治疗。疗程2~4周。2组均在治疗的第2和4周观察病人的临床症状
并通过胃镜、真菌检查和病理活检评价疗效。结果:两组病人均获很好治疗效果
实验组2周治愈21例
4周治愈8例
好转1例;对照组2周治愈25例
4周治愈5例
两组的有效率均为100%。两组的病理变化也无差别。实验组副作用发生率低于对照组
差异有统计学意义(P<0.05)。结论:对轻、中度真菌性食管炎采用抑酸和促动力药物治疗是有效和安全的。
Objective:To evaluate the curative effect of combination therapy of acid inhibitory drugs and prokinetic agents for mycotic esophagitis.Methods:60 patients with low-grade or moderate-grade mycotic esophagitis were randomly divided into two groups.The experimental group(30 cases)were treated with acid inhibitory drugs plus prokinetic agents;the control group(30 cases) were treated with antimycotic drugs.All of these patients were treated for 2 or 4 weeks.The clinical symptoms were observed at weeks 2 and 4 after treatment .The results were evaluated by gastric endoscopy
mycotic examination
and pathology.Results:The effective treatment results were observed and all clinical systoms in all these patients disappeared.The test for fungus was negative.In the experimental group
there were 21 cases of cure at week 2
8 cases of cure and 1 case of improvement at week 4.In the control group
there were 25 cases of cure at week 2
5 cases of cure at week 4.There was no significant different in clinical efficacy and pathological change between the experimental group and the control group.The side-effect in the experimental group was significantly lower than that in the control group(P<0.05).Conclusions:Acid inhibitory drugs and prokinetic agents are effective and safe in treating mycotic esophagitis of low grade or moderate grade.
真菌性食管炎抑酸药物促动力药物
Mycotic esophagitisAcid inhibitory drugsProkinetic agents
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