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大剂量奥美拉唑对老年胃溃疡合并出血患者再出血的影响研究
引用本文:张秀春.大剂量奥美拉唑对老年胃溃疡合并出血患者再出血的影响研究[J].现代预防医学,2011,38(12):2430-2431.
作者姓名:张秀春
作者单位:沈阳医学院沈洲医院,沈阳,110035
摘    要:目的]探讨大剂量奥美拉唑对老年胃溃疡合并出血患者在再出血的影响。方法]86例老年胃体溃疡并出血患者分成两组,实验组应用大剂量奥美拉唑持续给药:首次80mg静脉推注,然后以8mg/h的速度持续72h;对照组静脉滴注奥美拉唑每12h1次,每次40mg。应用3d,然后口服奥美拉唑,每日1次,每次20mg,疗程均为1个月,观察两组患者3d和30d再出血率并进行比较。结果]实验组有3例在3d内再出血,发生率为6.98,而对照组有8例,占18.6,两者比较差异有统计学意义(P﹤0.05)。在30d再出血的情况中,实验组无1例出现,为0,而对照组中有2例出现,占4.65,两者比较差异有统计学意义(P﹤0.05)。结论]大剂量奥美拉唑治疗在预防老年胃溃疡合并出血患者的近期、远期再出血方面具有积极的治疗作用,可以达到很好的治疗效果,值得在临床广泛应用。

关 键 词:大剂量  奥美拉唑  老年  再出血

STUDY ON THE INFLUENCE OF HIGH-DOSE OMEPRAZOLE FOR REHEMORRHAGE OF ELDERLY PATIENTS WITH BLEEDING ULCER
ZHANG Xiu-chun.STUDY ON THE INFLUENCE OF HIGH-DOSE OMEPRAZOLE FOR REHEMORRHAGE OF ELDERLY PATIENTS WITH BLEEDING ULCER[J].Modern Preventive Medicine,2011,38(12):2430-2431.
Authors:ZHANG Xiu-chun
Affiliation:ZHANG Xiu-chun.(Shenzhou Hospital of Shenyang Medical College,Shenyang 110035,China)
Abstract:Objective]To explore the influence of high-dose omeprazole for rehemorrhage of elderly patients with bleeding ulcer.Methods]86 old patients with gastric ulcer and body were divided into two groups.The experimental group were treated with high-dose omeprazole continue:80mg intravenous drug firstly,and then to push note 8mg/h for 72h;The control group was intravenous drip omeprazole every 12 hours,each time for 40mg.It was continued for 3d,and oral omeprazole,1 times/day,and each time was 20mg.All treatment...
Keywords:High-dose  Omeprazole  Elderly  Rehemorrhage  
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