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倍剂泮托拉唑联合多潘立酮治疗胃食管反流病的临床研究 被引量:7

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摘要 目的探讨倍剂泮托拉唑联合多潘立酮治疗胃食管反流病(GERD)的临床疗效。方法210例GERD病人随机分为三组:A组为倍剂泮托拉唑联合多潘立酮、B组为常规剂量泮托拉唑联合多潘立酮、C组为常规剂量泮托拉唑,各组均为70例。治疗4周后,评价各组临床症状缓解情况和内镜下的表现。结果治疗4周后A组、B组、C组的症状缓解总有效率分别为92.85%、74.28%、70.00%(均为P<0.05);治疗4周后内镜下病变改善率分别为88.57%、72.85%、51.42%(均为P<0.05);A组轻、中、重度病例临床症状缓解总有效率分别为95.65%、93.33%、88.24%;B组为91.30%、73.33%、52.94%;C组为87.00%、70.00%、47.06%。轻度GERD患者三组治疗总有效率比较差异无显著性。中度、重度患者A组与B组、A组与C组治疗总有效率相比较有显著性差异(P<0.05)。结论应用倍剂泮托拉唑联合多潘立酮治疗胃食管反流病,可使患者症状迅速改善,病变治愈率高,对中、重度GERD疗效显著。无不良反应,可推广使用。
出处 《现代消化及介入诊疗》 2006年第1期35-36,共2页 Modern Interventional Diagnosis and Treatment in Gastroenterology
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  • 1[20]Wilson KT,Fu S,Ramanujamk S,et al.Increased expression of inducible nitric oxide synthase and cyclooxygenase-2 in Barrett's esophagus and associated adenocarcinomas.Cancer Res,1998,58(14):2829-34
  • 2[21]Cadiot G,Bruhat A,Riguad D,et al.Multivariate analysis of pathophysiological factors in reflux esophagitis.Gut,1997,40(2):167-74
  • 3[1]Penagini R,Schoeman MN,Dent J,et al.Motor events underlying gastro-esophageal reflux in ambulant patients with reflux esophagitis.Neurogastroentorol Motil,1996;8(2):131-41
  • 4[2]Grossi L,Ciccaglione AF,Travaglini N,et al.Swallows,esophageal and gastric motility in normal subjects and in patients with gastro-oesophageal reflux disease:a 24h PH-manometric study.Neuro-gastroenterol Motil,1998;10(2):115-21
  • 5[3]Johnson LF,Harmon JW.Experimental esophagitis in a rabbit model.J Clin Gastroenterol 1986;8(Suppl 1):26-44
  • 6[4]Bremner RM,Crookes PF,DeMeester TR,et al.Concentration and refluxed acid and esophageal mucosal injury.Am J Surg,1992;164(5):522-7
  • 7[5]Blackshaw LA,Dent J.Lower esophageal sphincter response to noxious esophageal chemical stimuli in the ferret:involvement of tachykinin receptors.J Auton Nerv Syst,1997;13:66(3):189-200
  • 8[6]Eriksen CA,Cullen PT,Sutton D,et al.Abnormal esophageal transit in patients with typical reflux symptoms but normal endoscopic and PH profiles.Am J Surg,1991,161(6):657-61
  • 9[7]Chiba N,DeGara CJ,Wilkinson JM,et al.Speed of healing and symptom relief in grade Ⅱ to Ⅳ gastroesophageal reflux disease:a metaanalysis.Gastroenterology,1997,112(6):1798-810
  • 10[8]Peters FTM,Ganesh S,Kuipers EJ,et al.Endoscopic regression of Barrett's esophagus during omeprazole treatment:a randomised double blind study.Gut,1999,45(4):489-94

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  • 1李延芳,吕旭红.西沙比利、潘妥拉唑联合应用治疗胃食管反流病的临床观察[J].中国实用医药,2006,1(6):61-62. 被引量:6
  • 2赵殿和,寻碧.雷贝拉唑联合莫沙比利治疗反流性食管炎50例疗效观察[J].中国医药导报,2006,3(26):100-101. 被引量:8
  • 3陆星华,张泰昌.反流性食管炎诊断及治疗指南(2003年)[J].中华消化内镜杂志,2004,21(4):221-222. 被引量:843
  • 4李定国.关于反流性食管炎联合治疗的管见[J].新医学,1996,27(9):453-453. 被引量:10
  • 5FraserA,Delaney B,Moayyedi P. Symptom- based utcome measures for dyspepsia and GERD trials:a systematic review . Am J Gastroentero1,2005,100 ( 2 ) :442.
  • 6Zimmerman J. Validation of a brief inventory for diagnosis and monito- ring of symptomatic gastro - oesophageal reflux. Scand J Gastroentero1,200d- ,39 ( 3 ) :212 .
  • 7Armstrong D, Bennett JR, Blum AL, et aI. The endoscopi cassessment of esophagitis : a progress report on observer agreement. Gastroenterology,1996,111 (1) :85 .
  • 8Vakil N, van Zanten SV, K ahrilas P, et al. The montreal definition and classification of gastroesop hageal reflux disease: a global evi- dence - based consensus. Am J Gastroenterol, 2006, 101 ( 8 ): 1900 - 1920.
  • 9h'vine E J, Whitehead WE, Chey WD, et al. Design of treatment trials for functional gastrointestinal, disorders. Gastroenterology, 2006,130 (5) :538 -551.
  • 10MADAN K,AHUJA V, KASHYAP PC, et al. Comparison of efficacy of pantoprazole alone versus pantoprazole plus mosapride in therapy of gastroesophageal reflux disease:a randomized trial. Dis Esophagus, 2004,17 (4) :274 - 278.

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