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1.北京积水潭医院,北京 100035
2.北京世纪坛医院,北京 100038
贾纯增,主治医师,从事消化内科及消化内镜诊治工作,E-mail:jcz_82@163.com
* 蓝宇,硕士,教授,从事消化内科及消化内镜教学、临床及科研工作,E-mail:13621014609@163.com
收稿日期:2020-03-18,
网络出版日期:2020-08-10,
纸质出版日期:2020-11-05
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贾纯增,陈锐,刘宝岳等.康复新液联合铝镁加混悬液对预防慢性胃炎胃镜活检后并发症的疗效分析[J].中国实验方剂学杂志,2020,26(21):135-141.
JIA Chun-zeng,CHEN Rui,LIU Bao-yue,et al.Clinical Effect of Kangfuxin Solution Combined with Almagate Suspension on Complication of Gastroscope Biopsy[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(21):135-141.
贾纯增,陈锐,刘宝岳等.康复新液联合铝镁加混悬液对预防慢性胃炎胃镜活检后并发症的疗效分析[J].中国实验方剂学杂志,2020,26(21):135-141. DOI: 10.13422/j.cnki.syfjx.20202114.
JIA Chun-zeng,CHEN Rui,LIU Bao-yue,et al.Clinical Effect of Kangfuxin Solution Combined with Almagate Suspension on Complication of Gastroscope Biopsy[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(21):135-141. DOI: 10.13422/j.cnki.syfjx.20202114.
目的
2
观察康复新液联合铝镁加混悬液预防慢性胃炎胃镜检查活检后并发症的临床疗效。
方法
2
将276例慢性浅表性胃炎行胃镜活检的患者随机分为干预组和对照组。干预组采用康复新液联合铝镁加混悬液口服治疗,对照组不采取预防药物措施。1周后进行腹部症状评分及粪便隐血试验。
结果
2
干预组胃镜活检后一周的腹痛、腹部烧灼感、大便潜血阳性患者数明显少于对照组(
P
<
0.05);胃镜活检后一周对照组腹部症状评分高于胃镜活检前,干预组腹部症状评分低于胃镜活检前,且两组之间比较亦有显著性差异(
P
<
0.05);胃镜活检后,对照组患者的腹部症状评分明显高于干预组(
P
<
0.05);两组中幽门螺旋杆菌(HP)阳性亚组胃镜活检后一周,存在腹胀和早饱的患者干预组也明显少于对照组(
P
<
0.05);对照组中HP阳性患者胃镜活检后腹部症状评分显著高于活检前及干预组评分(
P
<
0.05)。
结论
2
康复新液联合铝镁加混悬液对预防胃镜活检后并发症安全有效,可避免胃镜活检所致的临床症状加重,尤其是在HP阳性人群中。
Objective
2
To observe the clinical effect of Kangfuxin solution combined with Almagate suspension on the complication of gastroscope biopsy.
Method
2
Totally 276 cases of chronic superficial gastritis gastroscope biopsy were divided into treatment group and control group randomly. Treatment group was treated by Kangfuxin solution combined with Almagate suspension,while the control group was given no precautionary measures as usual. Then the patients received the abdominal symptom score and fecal occult blood test(FOBT)after 1 week.
Result
2
The cases with abdominal pain,burning sensation and stool occult blood in the control group were more than the treatment group significantly(
P
<
0.05). The patients' abdominal symptom score in control group was higher than that before the gastroscope biopsy,and that was lower in treatment group(
P
<
0.05). And the patients' abdominal symptom score of the control group was significantly higher than that of the treatment group after the gastroscope biopsy(
P
<
0.05). Compared with the Helicobacter pylori(HP)-infected subgroup,the incidences of early satiety and ventosity in the control group were higher than those of the treatment group(
P
<
0.05). The abdominal symptom score of the patients infected with helicobacter pylori(HP)in control group was significantly higher than that before the gastroscope biopsy and in the treatment group(
P
<
0.05).
Conclusion
2
Kangfuxin solution combined with Almagate suspension is safe and effective in preventing complications of gastroscope biopsy,especially for patients infected with HP. The method could avoid exacerbating clinical symptoms.
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