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目的探讨分析奥美拉唑联合枸橼酸铋钾胶囊治疗胃溃疡的疗效。总结临床经验,为今后消化溃疡患者的治疗提供理论依据。方法随机选取郑州市侨光医院2012年4月至2013年4月间收入的120例胃溃疡患者作为研究对象。患者幽门螺杆菌(Hp)试验阳性,将其随机分为观察组和对照组,每组60例。观察组行奥美拉唑、枸橼酸铋钾胶囊治疗。对照组行四联法治疗。记录两组患者治疗情况,比较Hp根除率与不良反应的发生情况。结果观察组治愈50例(83.3%),有效8例(13.3%),治疗无效2例(3.3%),总有效率为96.7%(58/60);对照组治愈47例(78.3%),有效10例(16.7%),治疗无效3例(5.0%),总有效率为95.0%(57/60)。两组总有效率比较差异无统计学意义(P>0.05)。观察组Hp根除率为96.7%(58/60),高于对照组的83.3%(50/60),不良反应发生率(8.3%)低于对照组(40.0%),差异有统计学意义(P<0.05或0.01)。结论奥美拉唑联合枸橼酸铋钾胶囊的疗效好,患者Hp根除率高,胃肠功能恢复好,不良反应少;避免了溃疡的复发,改善患者预后;且该方法安全、经济,值得在临床工作中推广应用。
Objective To investigate the curative effect of omeprazole combined with bismuth potassium citrate capsule in the treatment of gastric ulcer. Summarize clinical experience, provide theoretical basis for the treatment of patients with peptic ulcer in the future. Methods A total of 120 patients with gastric ulcer who received income from Qiaoguang Hospital of Zhengzhou City from April 2012 to April 2013 were selected randomly. Patients with Helicobacter pylori (Hp) test was positive, were randomly divided into observation group and control group, 60 cases in each group. Observation group omeprazole, bismuth potassium citrate capsule treatment. Control group line quadruple therapy. Record the treatment of two groups of patients, compared the incidence of Hp eradication and adverse reactions. Results The observation group was cured in 50 cases (83.3%), effective in 8 cases (13.3%), treatment ineffective in 2 cases (3.3%), the total effective rate was 96.7% (58/60) 10 cases (16.7%) were effective, 3 cases (5.0%) were ineffective, and the total effective rate was 95.0% (57/60). The total effective rate was no significant difference between the two groups (P> 0.05). The eradication rate of Hp in observation group was 96.7% (58/60), higher than 83.3% (50/60) in control group and 8.3% in control group (40.0%), the difference was statistically significant ( P <0.05 or 0.01). Conclusion Omeprazole combined with bismuth potassium citrate capsule has good curative effect, high Hp eradication rate, good gastrointestinal function recovery and few adverse reactions; avoids the recurrence of ulcer and improves the prognosis of patients; and the method is safe, economical and worthwhile Promote the application in clinical work.