国际麻醉学与复苏杂志   2014, Issue (6): 15-15
    
星状神经节阻滞复合药物疗法治疗胃溃疡临床效果观察
龚琴1()
1.佛山市中医院
The effects of treatment of stellate ganglion block combined with drug therapy on gastric ulcer
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摘要:

【摘要】 目的 探讨星状神经节阻滞(stellate ganglion block, SGB)复合药物疗法治疗胃溃疡临床效果。 方法 80例幽门螺杆菌(helicobacter pylori, H.pylori)感染阳性及胃镜诊断胃溃疡患者采用随机数字表法分为观察组和对照组,每组40例。对照组患者口服阿莫西林500 mg,3 次/d,奥美拉唑20 mg,1 次/d,克拉霉素250 mg,2 次/d;观察组患者在口服上述药物的基础上加用SGB。观察2组患者的疗效并进行比较。 结果 观察组患者的治愈率(60%)及总有效率(100%)与对照组患者的治愈率(50%)及总有效率(90%)比较,两组患者治疗效果差异有统计学意义(P<0.05),提示观察组患者胃溃疡的治愈率及总有效率优于对照组;观察组患者治疗后胃黏膜炎症改善率(100%)和复发率(5%)与对照组治疗后胃黏膜炎症改善率(92.5%)和复发率(15%)比较,两组患者治疗效果差异有统计学意义(P<0.05),提示观察组患者在治疗后胃黏膜炎症消除情况和复发率好于对照组;观察组患者的H.pylori清除率(90%)与对照组H.pylori 清除率(75%)比较,两组患者治疗效果差异有统计学意义(P<0.05),提示观察组患者的H.pylori清除率高于对照组。 结论 SGB联合药物疗法能改善胃溃疡治疗效果。

关键词: 胃溃疡;幽门螺杆菌;星状神经阻滞
Abstract:

【Abstract】 Objective To investigate clinical effects of stellate ganglion block(SGB) combined with drug therapy on gastric ulcer. Methods Eighty cases of Helicobacter pylori infection and endoscopic diagnosis of gastric ulcer were randomly divided into two groups (n=40): observation group and control group. The control group received amoxicillin 500 mg, 3 times/d, omeprazole 20 mg, 1 times/d, clarithromycin 250 mg, 2 times/d, observation group received SGB combined with drug therapy and the drug type and dosage is the same as control group. Results The cure rate of patients in the observation group is 60% and total efficiency is 100%, the cure rate of patients in the control group is 50% and total efficiency is 90%, there was significant difference in the clinical effects of two group (P<0.05), compared with control group, gastric ulcer patients of observation group have higher cure rate and total efficienc. The improvement rate of mucosal inflammation after treatment in patients of observation group is 100% and the relapse rate of mucosal inflammation is 5%, the improvement rate of mucosal inflammation after treatment in patients of control group is 92.5% and the relapse rate of mucosal inflammation is 15%, there was significant difference in the clinical effects of two group(P<0.05), compared with control group, gastric ulcer patients of observation group have higher cure efficiency. Helicobacter pylori (H.pylori) clearance rate of patients is 90% in observation group after treatment and H.pylori clearance rate is 75% after treatment in control group, there was significant difference in the clinical effects of two group (P<0.05), compared with control group, gastric ulcer patients of observation group have higher H.pylori clearance rate. Conclusions SGB combined with drug therapy can improve gastric ulcer treatment.

Key words: gastric ulcer ;helicobacter pylori ;stellate ganglion block