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目的:探究胃溃疡患者分别采取泮托拉唑联合奥美拉唑治疗的临床成效差异,并为这类患者的最优化诊疗方案积累临床经验。方法:选取舟山医院消化内科2012年9月-2015年2月收治的84例胃溃疡患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各42例。其中对照组开展奥美拉唑三联疗法,研究组实施泮托拉唑三联疗法。记录两组患者溃疡愈合率、腹痛缓解率及Hp根除率。结果:研究组S1期和S2期为32例,愈合率80.0%,对照组S1期和S2期为22例,愈合率为57.9%,两组之间的差异具有统计学意义(P<0.05)。研究组Hp根除36例,根除率为90.0%,对照组Hp根除30例,根除率为78.9%,两组差异有统计学意义(P<0.05)。研究组用药后第1d和第2d腹痛缓解率分别为36.8%、52.6%,对照组分别为15.8%、36.8%,两组之间存在明显的统计学差异(P<0.05)。结论:胃溃疡患者采取泮托拉唑三联疗法相较于奥美拉唑三联疗法而言,能有效提高抗Hp效果,且能促进溃疡愈合修复,并能快速缓解腹痛,取得较为可观的临床成效。
Objective: To investigate the difference of clinical efficacy between the treatment of gastric ulcer and the omeprazole respectively, and to accumulate clinical experience for the optimal diagnosis and treatment of such patients. Methods: 84 patients with gastric ulcer admitted to Department of Gastroenterology, Zhoushan Hospital from September 2012 to February 2015 were randomly divided into study group (n = 42) and control group (n = 42). The control group developed omeprazole triple therapy, the study group implemented pantoprazole triple therapy. The ulcer healing rate, abdominal pain relief rate and Hp eradication rate were recorded in two groups. Results: There were 32 cases in study group S1 and S2, the healing rate was 80.0%. There were 22 cases in control group S1 and S2, the healing rate was 57.9%. The difference between the two groups was statistically significant (P <0.05) . The study group Hp eradication in 36 cases, the eradication rate was 90.0%, the control group Hp eradication in 30 cases, the eradication rate was 78.9%, the difference between the two groups was statistically significant (P <0.05). The pain relief rates of the first and second days in the study group were 36.8% and 52.6%, respectively, and those in the control group were 15.8% and 36.8%, respectively. There was a significant difference between the two groups (P <0.05). Conclusion: Compared with omeprazole triple therapy, the triple therapy of pantoprazole in patients with gastric ulcer can effectively improve the effect of anti-Hp, promote the healing of ulcer, and can quickly relieve the abdominal pain and achieve more significant clinical results .