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奥美拉唑与法莫替丁预防应激性上消化道溃疡出血的疗效比较 被引量:25

Comparison the effect between omeprazole and famotidine prevention of stress ulcer bleeding
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摘要 目的:探讨奥美拉唑对应激性上消化道溃疡出血的预防效果及机制。方法:将确诊急性颅脑疾病的病人98例,分为两组:在常规治疗基础上奥美拉唑组48例,给予奥美拉唑40 mg,静滴,q 12 h,7天后改为口服或经胃管注入,疗程10~14 d;对照组50例,给予法莫替丁20 mg,静滴,q 12 h,7天后改为口服或经胃管注入,疗程10~14 d。对两组病人上消化道出血的发生率进行对比。结果:对照组上消化道出血的发生率为24.0%,明显高于奥美拉唑组(6.3%),差异有非常显著意义(P〈0.05)。结论:奥美拉唑能有效地预防应激性上消化道出血,明显降低死亡率。 Objective: To study the effects of omeprazole vs famotidine treating stress ulcer. Methods: 98 patients with severe brain diseases were randomly divided into two groups, omeprazole group (n = 48) and famotidine group (n = 50), the incidence of upper digestive tract hemorrhage and mortality caused by stress uler were analysed. Results: The incidence of upper digestive tract hemorrhage and mortality was 6.3% in omeprazole group, and 24.0% in famotidine group, respectively. The statistical difference was significant between two groups ( P 〈 0.05 ). Conclusion: Omeprazole can decrease the incidence of stress ulcer complicating with severe brain diseases and decrease the mortality caused by upper digestive tract hemorrhage.
出处 《药学与临床研究》 2008年第5期380-382,共3页 Pharmaceutical and Clinical Research
关键词 应激性溃疡出血 奥美拉唑 法莫替丁 Stress ulcer bleeding Omeprazole Famotidine
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