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作 者:蒋勇[1]
机构地区:[1]四川省富顺县人民医院内科,四川富顺643200
出 处:《实用医院临床杂志》2009年第1期38-40,共3页Practical Journal of Clinical Medicine
摘 要:目的探讨奥美拉唑对急性冠脉综合征患者胃黏膜的保护作用。方法207例急性冠脉综合征患者,常规治疗109例(对照组),常规治疗基础上加服奥美拉唑98例(治疗组),观察两组急性糜烂出血性胃炎的发生率。结果治疗组急性糜烂出血性胃炎发生率明显低于对照组,差异有显著性意义(P<0.01)。结论治疗急性冠脉综合征患者,可常规给予口服奥美拉唑防治急性糜烂出血性胃炎。Objective To evaluate the role of per os omeprazole in protecting gastric mucous membrane in patient with acute coronary syndrome(ACS). Methods A total of 207 patients with ACS were enrolled in two groups. Patients in control group (n = 109) received conventional therapies (aspirin, low-molecular-weight heparin, calcium and Isosorbide Mononitrate). Omeprazole per os was added in addition to conventional therapies in treatment group ( n = 98 ). The positive rate of fecal occult blood or dominant upper gastrointestinal hemorrhage, that is, acute erosive-hemorrhagic gastritis, were estimated before and after treatment. Results After treatment, the rate of upper gastrointestinal hemorrhage was significantly lower in treatment group than control one ( P 〈 0. 01 ). Conclusion Per os omeprazole can be conventionally used to prevent and treat acute erosive-hemorrhagic gastritis in patient with ACS.
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