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目的评价胶体果胶铋、兰索拉唑、吗叮啉联合治疗胆汁反流性胃炎的疗效。方法对65例确诊胆汁反流胃炎患者随机分成A、B、C三组。A组25例,同时服用兰索拉唑30 mg,吗叮啉10 mg,胶体果胶铋100 mg,3次/d;B组18例,吗叮啉10 mg,3次/d;C组22例,胶体果胶铋100 mg,3次/d。1个月后观察临床症状,内镜变化及复发结果。结果 A、B、C三组症状改善总有效率分别为94.4%、77.8%、77.3%,0.5 a复发结果分别为2例、5例、6例。结论吗叮啉、胶体果胶铋、兰索拉唑联合治疗胆汁反流性胃炎疗效好,复发率低,并能改善胃黏膜萎缩。
Objective To evaluate the efficacy of colloidal bismuth pectin, lansoprazole and doratripri in the treatment of bile reflux gastritis. Methods 65 patients with biliary reflux gastritis were randomly divided into A, B, C three groups. A group of 25 patients, while taking lansoprazole 30 mg, morphine 10 mg, colloidal bismuth pectin 100 mg, 3 times / d; B group 18 cases, dolantin 10 mg, 3 times / d; C group 22 cases, colloidal bismuth pectin 100 mg, 3 times / d. After 1 month, observe the clinical symptoms, endoscopic changes and recurrence results. Results The total effective rate of improvement in group A, B and C were 94.4%, 77.8% and 77.3% respectively, and the recurrence rates in 0.5 a were 2, 5 and 6, respectively. Conclusion Morindolin, colloidal bismuth pectin, lansoprazole combined treatment of bile reflux gastritis good effect, low recurrence rate, and can improve gastric mucosal atrophy.