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达立通颗粒联合质子泵抑制剂治疗胃食管反流病的临床疗效

[Clinical effects of dalitong granule combined proton pump inhibitors on gastroesophageal reflux disease].

作者信息

Zhang Qing, Tan Xiao-Ping, Wang Wei-Zheng

机构信息

Department of Internal Medicine, Clinic Medical College of Yangtze University, Hubei 434000.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012 Apr;32(4):464-7.

Abstract

OBJECTIVE

To observe the clinical effects of Dalitong Granule (DG) combined proton pump inhibitors (PPI) on gastroesophageal reflux disease (GERD).

METHODS

Totally 186 patients with GERD were randomly assigned to three groups, i.e., the control group A (61 cases, only PPI group, Rabeprazole Capsule 20 mg, once daily), the control group B (61 cases, PPI with domperidone group, Rabeprazole 20 mg, once daily; Domperidone 10 mg each time, thrice daily), and the experimental group (64 cases, PPI + DG group, Rabeprazole 20 mg, once daily; DG, 6 g each time, thrice daily). The treatment lasted for 4 weeks for all. The symptom scoring, the overall efficacy, local efficacy, and adverse drug reactions were compared among the three groups before and after treatment.

RESULTS

Totally 183 patients completed the experiment. After 4 weeks of treatment, the symptom scores in the three groups were significantly lowered. It was the lowest in the experimental group with statistical difference (P < 0.01). The markedly effective rate and the effective rate of the experimental group were significantly higher than those of the control A and B groups. The local markedly effective rate and the effective rate of the reflux esophagitis (RE) in the experimental group were significantly higher than those of the control A and B groups (P<0.05). No serious adverse reactions occurred in the three groups during the treatment period.

CONCLUSION

DG combined PPI could improve the symptoms of GERD safely and effectively.

摘要

目的

观察达立通颗粒(DG)联合质子泵抑制剂(PPI)治疗胃食管反流病(GERD)的临床疗效。

方法

将186例GERD患者随机分为三组,即对照组A(61例,单纯PPI组,雷贝拉唑胶囊20mg,每日1次)、对照组B(61例,PPI联合多潘立酮组,雷贝拉唑20mg,每日1次;多潘立酮每次10mg,每日3次)和试验组(64例,PPI+DG组,雷贝拉唑20mg,每日1次;DG每次6g,每日3次)。三组均治疗4周。比较三组治疗前后的症状评分、总疗效、局部疗效及药物不良反应。

结果

共183例患者完成试验。治疗4周后,三组症状评分均显著降低,试验组最低,差异有统计学意义(P<0.01)。试验组的显效率和有效率显著高于对照组A和B组。试验组反流性食管炎(RE)的局部显效率和有效率显著高于对照组A和B组(P<0.05)。三组治疗期间均未发生严重不良反应。

结论

DG联合PPI能安全、有效地改善GERD症状。

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