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      肝硬化上消化道出血患者應(yīng)用奧曲肽聯(lián)合埃索美拉唑治療的效果及不良反應(yīng)

      2020-05-11 06:14:24張偉
      中外醫(yī)學(xué)研究 2020年3期
      關(guān)鍵詞:埃索美拉唑奧曲肽上消化道出血

      張偉

      【摘要】 目的:探討肝硬化上消化道出血患者應(yīng)用奧曲肽聯(lián)合埃索美拉唑治療的效果及不良反應(yīng)。方法:此次82例研究對(duì)象是筆者所在醫(yī)院2018年2月-2019年4月收治的肝硬化上消化道出血患者中隨機(jī)篩選所得,以雙模擬法為依據(jù)進(jìn)行分組,兩組各41例,在治療中,參照組用基礎(chǔ)治療+奧曲肽,而研究組再加用埃索美拉唑,比較兩組的治療效果及用藥不良反應(yīng)。結(jié)果:研究組臨床總有效率為92.68%,比參照組的75.61%高,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。研究組比參照組病癥改善時(shí)間、止血時(shí)間、住院時(shí)間短,輸血量少,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。研究組不良反應(yīng)率為12.19%,參照組為17.07%,兩組差異無統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論:肝硬化上消化道出血患者治療中奧曲肽與埃索美拉唑聯(lián)合應(yīng)用的效果顯著,能快速止血,改善病癥,且不良反應(yīng)不會(huì)增加,值得全方位推廣應(yīng)用。

      【關(guān)鍵詞】 肝硬化 上消化道出血 奧曲肽 埃索美拉唑

      doi:10.14033/j.cnki.cfmr.2020.03.018 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 1674-6805(2020)03-00-03

      [Abstract] Objective: To investigate the effect and adverse reactions of Octreotide combined with Esomeprazole in treating patients with upper gastrointestinal bleeding in cirrhosis. Method: A total of 82 cases with cirrhosis and upper gastrointestinal hemorrhage in authors hospital from February 2018 to April 2019 were randomly selected, they were divided into two groups by double simulation method, 41 cases in each group. The control group was treated with basic treatment and Octreotide, and the study group added Esomeprazole, the treatment effect and drug adverse reactions of the two groups were compared. Result: The total clinical effective rate of the study group was 92.68%, higher than 75.61% of the control group, and the difference was statistically significant (P<0.05). Compared with the control group, the improvement time, hemostasis time and hospitalization time of the study group were shorter, and the amount of blood transfusion was less, and the differences were statistically significant (P<0.05). The adverse reaction rate was 12.19% in the study group and 17.07% in the control group, and there was no statistically significant difference between the two groups (P>0.05). Conclusion: The combined application of Octreotide and Esomeprazole in the treatment of patients with upper gastrointestinal bleeding caused by liver cirrhosis has a significant effect, which can stop bleeding quickly and improve the symptoms without increasing adverse reactions. Therefore, it is worth promoting and applying in an all-round way.

      [Key words] Cirrhosis Upper gastrointestinal bleeding Octreotide Esomeprazole

      First-authors address: Wuxue First Peoples Hospital, Wuxue 435400, China

      在內(nèi)科危急重癥疾病中肝硬化上消化出血是常見的一種,患者會(huì)有黑便、嘔血等表現(xiàn)[1],隨之血紅蛋白、血壓會(huì)有不同程度降低,甚至誘發(fā)失血性休克、肝性腦病[2]。該病的產(chǎn)生多是門脈高壓性胃黏膜病變和食管胃低靜脈曲張破裂所致[3],因?yàn)榛颊弑旧砀喂δ軠p退、凝血功能較差,所以通常出血量較大、病情危重、死亡率高[4]。因此及時(shí)有效的止血有著重要意義,筆者所在醫(yī)院為了讓患者得到更好的治療,選取2018年2月-2019年4月收治的82例患者為研究對(duì)象,圍繞奧曲肽聯(lián)合埃索美拉唑治療效果展開深入研究,詳情報(bào)道如下。

      [5]李國珍,周錦霞.奧曲肽聯(lián)合奧美拉唑治療肝炎后肝硬化合并上消化道出血患者的療效及對(duì)止血時(shí)間及不良反應(yīng)的影響[J].實(shí)用臨床醫(yī)藥雜志,2017,21(9):49-51.

      [6]杜登泰,付曼榮,楊剛,等.奧美拉唑聯(lián)合奧曲肽治療肝硬化并上消化道出血的療效評(píng)價(jià)[J].現(xiàn)代消化及介入診療,2018,23(5):99-101.

      [7]林慧玲,吳雅鋆,陳玲紅,等.60例肝硬化合并上消化道出血患者行奧曲肽聯(lián)合凝血酶止血的臨床效果分析[J].中國婦幼健康研究,2017,28(S1):481-482.

      [8]朱建華,計(jì)鈺亮,楊君寅.普萘洛爾聯(lián)合奧曲肽治療肝硬化上消化道出血的臨床療效以及對(duì)患者生活質(zhì)量的影響[J].中國中西醫(yī)結(jié)合消化雜志,2017,25(5):336-339.

      [9]陳博婷.蘭索拉唑聯(lián)合奧曲肽治療老年性肝硬化患者上消化道出血的臨床觀察[J].山西醫(yī)藥雜志,2017,46(18):2236-2237.

      [10]莊建榮,鄭培英,甘惠貞.奧曲肽與生長抑素治療肝硬化上消化道出血療效和安全性比較的Meta分析[J].中國藥師,2017,20(20):2208.

      [11] Meireles C Z,Pasarin M,Lozano J J,et al.Simvastatin attenuates liver injury in rodents with biliary cirrhosis submitted to hemorrhage/resuscitation[J].Shock,2017,47(3):370-377.

      [12]趙新功,王宇暉.不同劑量奧曲肽聯(lián)合蘭索拉唑治療肝硬化合并上消化道出血療效及安全性評(píng)價(jià)[J].藥物評(píng)價(jià)研究,2017,40(4):529-532.

      [13]許國華,張印.埃索美拉唑和奧美拉唑用于胃潰瘍治療臨床效果對(duì)比觀察[J].中國醫(yī)學(xué)創(chuàng)新,2017,14(8):106-109.

      [14] Chang-Xue J,Ying L,Shuai J,et al.Percutaneous transsplenic varices embolization in treatment of upper gastrointestinal hemorrhage of schistosomiasis cirrhosis[J].Chinese Journal of Schistosomiasis Control,2017,29(3):349-351.

      [15]龐國宏,李靈軍,楊汝磊,等.特利加壓素聯(lián)合埃索美拉唑治療肝硬化上消化道出血患者肝靜脈壓力梯度的變化[J].實(shí)用肝臟病雜志,2017,20(3):364-365.

      (收稿日期:2019-08-28) (本文編輯:何玉勤)

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