A randomized,controlled study in the treatment of gastrohelcoma using Kangfuxin liquid combined with colloidal bismuth PECT in-739 and/or omeprazole
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摘要: [目的]比较康复新液联合胶体果胶铋或(和)奥美拉唑治疗胃溃疡(GU)有效性和安全性。[方法]278例GU患者连续随机地分为:康复新组(A组);康复新+胶体果胶铋组(B组);康复新+奥美拉唑组(C组);康复新+胶体果胶铋+奥美拉唑组(D组)。A组口服康复新治疗,B组在A组的基础上加服胶体果胶铋,C组在A组的基础上加服奥美拉唑;D组在B组的基础上加服奥美拉唑。治疗4周后观察4组患者的腹痛、上腹胀、恶心、呕吐、纳差嗳气、反酸、烧心(或胸骨后烧灼感)等情况及不良反应。[结果]A、B、C、D组治疗后恶心、呕吐改善总有效率分别为50.72%、72.22%、50.74%、75.71%,B、D组与A组,C组与D组比较均差异有统计学意义(P<0.05);A、B、C、D组治疗后腹痛、腹胀改善总有效率分别为52.17%、68.06%、65.67%、95.71%,A、B、C组与D组比较均差异有统计学意义(P<0.05),A组与B组、A组与C组比较差异无统计学意义(P>0.05);A、B、C、D组治疗后反酸、烧心改善总有效率分别为53.62%、80.56%、52.24%、87.14%,B、D组与A组,C组与D组比较均差异有统计学意义(P<0.05)。[结论]单用康复新对GU是有效的,适合轻中度GU;联合胶体果胶铋对GU更有效,适合较重的GU患者;再联合奥美拉唑对于GU最有效,特别适合重型GU患者。Abstract: [Objective] To compare the efficacy and safety of Kangfuxin Liquid combined with Colloidal Bismuth PECTin-739 and /or Omeprazole in the treatment of gastric benign ulcer(GU). [Methods] A total of 278 consecutive outpatients with GU were randomly divided into the following groups: group A treated with Kangfuxin Liquid, group B treated with Kangfuxin Liquid combined with Colloidal Bismuth PEC Tin-739, group C treated with Kangfuxin Liquid combined with Omeprazole, and group D treated with Kangfuxin Liquid combined with Colloidal Bismuth PECTin-739 and Omeprazole.Four weeks after treatment, the patients’ symptoms such as bellyache, epigastric distension, nausea, vomiting, sour regurgitation, heartburn as well as the adverse reactions were observed and recorded. [Results] The total effective rates for nausea and vomiting were 50.72%, 72.22%, 50.74%, and 75.71%., respectively in group A, B, C, and D after treatment, and the difference between group A and group B, group A and group D, group C and group D was statistically significant (P<0.05).The total effective rates for bellyache and epigastric distension were 52.17%, 68.06%, 65.67%, and 95.71% respectively in group A, B, C, and D after treatment. There were significant differences between group A, B, C and group D (P<0.05) The difference between group A and group B or group A and group C was insignificant (P>0.05) The total effective rates for sour regurgitation and heartburn were 53.62%, 80.56%, 52.24%, and 87.14%, respectively in group A, B, C, and D after treatment. The differences between group A and group B, between group A and group D, and between group C and group D were statistically significant (P<0.05). [Conclusion] Kangfuxin Liquid was effective, suitable for mild GU.Kangfuxin Liquid combined with Colloidal Bismuth PECTin-739 has better effect on medium GU.Kangfuxin Liquid combined with Colloidal Bismuth PECTin-739 and /or Omeprazole is the most effective for GU, especially for severe GU.
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Key words:
- gastric benign ulcer /
- Kangfuxin Liquid /
- Colloidal Bismuth PECTin-739 /
- Omeprazole
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