论文部分内容阅读
本文对近5年来诊治的188例复发性消化性溃疡病进行了随访,发现半年内复发者与原疗程短有关。治愈后继续用药2周半年内复发率可明显降低,但不降低1年内复发率。半年后复发者66例(35.1%)与季节有关,其中十二指肠球部溃癌(DU)38例、胃溃疡(GU)28例。52例(27.7%)与伴有胆汁反流者吸烟有关,其中DU 22例、GU 30例。38例(20.2%)与患者个性有关,其中DU 26例、GU12例。32例(17.0%)与服刺激性药物有关,其中DU 12例、GU 20例。分别采取易发季节给抗酸治疗1个月,戒烟并加服吗丁啉,抗抑郁,避免服用刺激性药物或加服碱性药后明显降低了复发率。
188 cases of recurrent peptic ulcer disease treated in the past five years were followed up and found that relapse within six months and the original short course of treatment. The recurrence rate can be obviously reduced within 6 weeks after the treatment is continued for 2 weeks but does not reduce the recurrence rate within 1 year. Six months after the relapse, 66 cases (35.1%) were related to the season, including 38 cases of duodenal ulcer (DU) and 28 cases of gastric ulcer (GU). 52 cases (27.7%) were associated with smoking in patients with bile reflux, including DU 22 cases, GU 30 cases. 38 cases (20.2%) were related to patient’s personality, including 26 cases of DU and 12 cases of GU. Thirty-two cases (17.0%) were associated with irritable drugs, including 12 cases of DU and 20 cases of GU. Respectively take the easy-to-seasons to antacid therapy for 1 month, quit smoking and add domperidone, antidepressant, to avoid taking stimulant drugs or plus alkaline drugs significantly reduce the recurrence rate.