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目的探讨复方丹参滴丸联合雷尼替丁治疗老年胃溃疡的疗效。方法将85例老年胃溃疡患者随机分为A和B两组,A组(联合组)44例给予复方丹参滴丸250mg,每日3次,雷尼替丁0.3g,每晚睡前服1次,疗程4周;B组(对照组)41例单纯给予雷尼替丁0.3g,每晚睡前服1次,疗程4周。1周末和4周末复诊,记录症状变化和不良反应,4周治疗结束时复查胃镜。结果联合组1周末、4周末疼痛消失率为75.0%和88.6%,对照组则分别为46.3%和65.9%(P<0.01和P<0.05);联合组溃疡愈合率、有效率为77.3%和93.2%,分别高于对照组的56.1%(P<0.05)和68.3%(P<0.01)。不良反应两组差异无显著意义,且症状轻。溃疡复发率6个月和12个月联合组均明显低于对照组(P<0.05)。结论复方丹参滴丸联合雷尼替丁治疗老年胃溃疡取得较好疗效。
Objective To investigate the curative effect of compound Danshen dripping pills combined with ranitidine on senile gastric ulcer. Methods A total of 85 elderly patients with gastric ulcer were randomly divided into two groups: A and B, and 44 patients in group A (combination group) received 250 mg salvia miltiorrhiza drip pills 3 times daily and ranitidine 0.3 g Times, the course of treatment for 4 weeks; B group (control group) 41 patients were given ranitidine 0.3g, 1 times a night before bedtime, treatment for 4 weeks. 1 weekend and 4 weekend referral, record changes in symptoms and adverse reactions, 4 weeks after the end of the review gastroscopy. Results The pain disappearance rate in the combined group was 75.0% and 88.6% at 1 week and 4 weeks respectively, while it was 46.3% and 65.9% respectively in the control group (P <0.01 and P <0.05). The union rate of ulcer healing was 77.3% 93.2% respectively, higher than 56.1% (P <0.05) and 68.3% (P <0.01) of the control group respectively. Adverse reactions no significant difference between the two groups, and mild symptoms. The recurrence rate of ulcer in 6 months and 12 months in combined group were significantly lower than that in control group (P <0.05). Conclusion Compound Danshen dripping pills combined with ranitidine in the treatment of senile gastric ulcer achieved good effect.