[1]林 勇.洛赛克联合康复新液治疗上消化道出血的止血效果及胃酸抑制作用分析[J].医学信息,2025,38(10):126-129.[doi:10.3969/j.issn.1006-1959.2025.10.024]
 LIN Yong.Analysis of Hemostatic Effect and Gastric Acid Inhibition Effect of Losec Combined with Kangfuxin Liquid in the Treatment of Upper Gastrointestinal Hemorrhage[J].Journal of Medical Information,2025,38(10):126-129.[doi:10.3969/j.issn.1006-1959.2025.10.024]
点击复制

洛赛克联合康复新液治疗上消化道出血的止血效果及胃酸抑制作用分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年10期
页码:
126-129
栏目:
论著
出版日期:
2025-05-15

文章信息/Info

Title:
Analysis of Hemostatic Effect and Gastric Acid Inhibition Effect of Losec Combined with Kangfuxin Liquid in the Treatment of Upper Gastrointestinal Hemorrhage
文章编号:
1006-1959(2025)10-0126-04
作者:
林 勇
信丰县中医院消化内科,江西 信丰 341600
Author(s):
LIN Yong
Department of Gastroenterology, Xinfeng Hospital of Traditional Chinese Medicine, Xinfeng 341600, Jiangxi, China
关键词:
洛赛克康复新液上消化道出血止血效果胃酸抑制
Keywords:
Losec Kangfuxin liquid Upper gastrointestinal hemorrhage Hemostatic effect Coagulation function
分类号:
R573.2
DOI:
10.3969/j.issn.1006-1959.2025.10.024
文献标志码:
A
摘要:
目的 探讨洛赛克联合康复新液治疗上消化道出血的止血效果及胃酸抑制作用。方法 选取2021年12月-2023年12月信丰县中医院收治的65例上消化道出血患者作为研究对象,根据随机数字表法将其分为研究组(n=33)与对照组(n=32)。对照组予以洛赛克治疗,研究组在对照组基础上口服康复新液治疗。比较两组止血效果、炎性因子指标[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]水平、凝血功能[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)]、不良反应(恶心、嗜睡、呕吐)发生率。结果 研究组止血总有效率(96.97%)高于对照组(75.00%)(P<0.05);与对照组比较,研究组治疗后IL-6、TNF-α、hs-CRP、PT、APTT水平更低,而FIB水平更高(P<0.05);研究组不良反应发生率(3.03%)低于对照组(15.63%)(P<0.05)。结论 洛赛克联合康复新液治疗上消化道出血的止血效果确切,能够减轻患者炎性反应,改善凝血功能,且安全性较高。
Abstract:
Objective To investigate the hemostatic effect and gastric acid inhibition of Losec combined with Kangfuxin liquid in the treatment of upper gastrointestinal hemorrhage. Methods A total of 65 patients with upper gastrointestinal hemorrhage admitted to Xinfeng County Hospital of Traditional Chinese Medicine from December 2021 to December 2023 were selected as the research objects. According to the random number table method, they were divided into study group (n=33) and control group (n=32). The control group was treated with Losec, and the study group was treated with oral Kangfuxin liquid on the basis of the control group. The hemostatic effect, levels of inflammatory factor indexes [interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), high-sensitivity C-reactive protein (hs-CRP)], coagulation function [prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB)] and incidence of adverse reactions (nausea, drowsiness, vomiting) were compared between the two groups. Results The total effective rate of hemostasis in the study group (96.97%) was higher than that in the control group (75.00%) (P<0.05). Compared with the control group, the levels of IL-6, TNF-α, hs-CRP, PT and APTT in the study group were lower, while the level of FIB was higher (P<0.05). The incidence of adverse reactions in the study group (3.03%) was lower than that in the control group (15.63%) (P<0.05). Conclusion Losec combined with Kangfuxin liquid has a definite hemostatic effect in the treatment of upper gastrointestinal bleeding, which can reduce their inflammatory reaction, improve the coagulation function, and has high safety.

参考文献/References:

[1]肖赛,康晓芳.巴曲酶联合洛赛克治疗急性上消化道出血的效果及对患者血小板功能的影响[J].现代消化及介入诊疗,2019,24(5):461-465.[2]任廷芳.康复新液辅助生长抑素治疗非甾体药物致上消化道出血临床疗效及安全性研究[J].中国免疫学杂志,2018,34(1):109-111,116.[3]陆兴俊,王胤,涂胜.康复新液联合泮托拉唑钠治疗上消化道非静脉曲张出血临床观察[J].湖北中医药大学学报,2021,23(2):69-72.[4]王永翠,赵太云,梁海.不同浓度康复新液治疗经皮冠状动脉介入手术术后患者抗血小板治疗后消化道出血的疗效观察[J].世界中西医结合杂志,2023,18(10):2027-2032.[5]中国中西医结合学会消化内镜学专业委员会非静脉曲张性消化道出血专家委员会.急性非静脉曲张性上消化道出血中西医结合诊治共识(2019年)[J].中国中西医结合杂志,2019,39(11):1296-1302.[6]《中华内科杂志》编辑委员会,《中华医学杂志》编辑委员会,《中华消化杂志》编辑委员会,等.急性非静脉曲张性上消化道出血诊治指南(2018年,杭州)[J].中华内科杂志,2019,58(3):173-180.[7]肖惟中,张致远,苏天昊,等.临床模型预测经导管动脉栓塞治疗急性非静脉曲张性上消化道出血术后30天内再出血[J].中国介入影像与治疗学,2023,20(5):290-294.[8]陈汉林,程春生,穆雪峰.内镜下金属钳夹术治疗老年非静脉曲张性上消化道出血的临床效果[J].中国老年学杂志,2022,42(5):1099-1102.[9]陈松,史键山,吴梅秋,等.急诊介入治疗对急性重度非静脉曲张性上消化道出血临床效果观察[J].临床军医杂志,2022,50(7):757-759.[10]田琳,刘咪,兰亚.奥曲肽联合凝血酶治疗老年肝硬化合并上消化道出血的临床疗效及安全性观察[J].贵州医药,2023,47(3):425-426.[11]王晓,陈秋玲,谢守霞,等.血栓弹力图在1例经皮冠脉介入术术后急性期合并上消化道出血患者抗栓药物治疗方案调整中的应用[J].中国药业,2023,32(9):117-120.[12]彭静,孙海丽,沈爱,等.生长抑素联合奥曲肽治疗对肝硬化上消化道出血患者炎性介质、氧化应激及凝血功能的影响[J].分子诊断与治疗杂志,2023,15(12):2044-2047,2052.[13]朱文娟.奥曲肽联合泮托拉唑治疗老年消化性溃疡合并上消化道出血患者的疗效及对凝血功能的影响[J].实用临床医药杂志,2019,23(22):55-57.[14]杨熹,宋冬梅,华敏.生长抑素联合奥曲肽治疗肝硬化并发上消化道出血患者疗效及其对凝血功能指标的影响再观察[J].实用肝脏病杂志,2020,23(5):695-698.[15]刘慧,张诒凤,郁磊.特利加压素联合生长抑素治疗肝硬化并发上消化道出血患者疗效研究[J].实用肝脏病杂志,2020,23(6):857-860.[16]肖梅,贾勇,郑邦海,等.急性非静脉曲张性上消化道出血常规内镜下止血后再出血的血管栓塞术治疗价值[J].中华消化内镜杂志,2022,39(7):575-578.[17]俞文,帕力达·帕拉哈提,艾克帕尔·艾肯,等.基层医院常规内镜下去甲肾上腺素注射联合电凝治疗急性非静脉曲张性上消化道出血疗效评估[J].胃肠病学,2022,27(7):410-414.[18]李海霞,徐梦达.生长抑素辅助治疗老年肝硬化上消化道出血的疗效及对患者脾静脉血流的影响[J].中国老年学杂志,2022,42(19):4681-4684.[19]唐闯,张鑫,张婷.艾司奥美拉唑镁联合白眉蛇毒血凝酶对非静脉曲张性上消化道出血的治疗效果观察[J].上海交通大学学报(医学版),2022,42(11):1576-1581.[20]张娜,高东,王艳妮.泮托拉唑联合奥曲肽及血凝酶治疗老年急性上消化道出血的疗效及对患者血清D-二聚体、BUN/Cr值水平的影响[J].海南医学,2022,33(13):1638-1642.

相似文献/References:

[1]谢 磊,李 芳,翟亚男.外用重组人碱性成纤维细胞生长因子联合康复新液治疗 糜烂型扁平苔藓的临床应用[J].医学信息,2018,31(18):124.[doi:10.3969/j.issn.1006-1959.2018.18.039]
 XIE Lei,LI Fang,ZHAI Ya-nan.Clinical Application of Recombiant Human Basic Fibroblast Growth Factor for External Use Combined with Kangfuxin Solution in the Treatment of Erosive Lichen Planus[J].Journal of Medical Information,2018,31(10):124.[doi:10.3969/j.issn.1006-1959.2018.18.039]
[2]邓云华.手术联合康复新液治疗肛周脓肿的疗效[J].医学信息,2019,32(22):150.[doi:10.3969/j.issn.1006-1959.2019.21.051]
 DENG Yun-hua.Therapeutic Effect of Combined Surgery and Rehabilitation Fluid on Perianal Abscess[J].Journal of Medical Information,2019,32(10):150.[doi:10.3969/j.issn.1006-1959.2019.21.051]
[3]丁 华.康复新液预防抗结核药品消化道不良反应的效果[J].医学信息,2023,36(17):157.[doi:10.3969/j.issn.1006-1959.2023.17.033]
 DING Hua.Effect of Kangfuxin Liquid on Prevention of Gastrointestinal Adverse Reactions of Anti-tuberculosis Drugs[J].Journal of Medical Information,2023,36(10):157.[doi:10.3969/j.issn.1006-1959.2023.17.033]
[4]邱志勇,欧阳琴,何洪兴.高锰酸钾、康复新液及浓氯化钠联合应用对吻合器痔上粘膜环切术后患者的影响[J].医学信息,2024,37(23):117.[doi:10.3969/j.issn.1006-1959.2024.23.028]
 QIU Zhiyong,OUYANG Qin,HE Hongxing.Effect of Combined Application of Potassium Permanganate, Kangfuxin Solution and Concentrated Sodium Chloride on Patients Undergoing Procedure for Prolapse and Hemorrhoids[J].Journal of Medical Information,2024,37(10):117.[doi:10.3969/j.issn.1006-1959.2024.23.028]
[5]何洪兴.中药坐浴、康复新液及50%硫酸镁联合应用对自动痔疮套扎术患者预后及康复时间的影响[J].医学信息,2025,38(01):129.[doi:10.3969/j.issn.1006-1959.2025.01.025]
 HE Hongxing.Effect of Combined Application of Traditional Chinese Medicine Sitz Bath, Kangfuxin Liquid and 50% Magnesium Sulfate on the Prognosis and Rehabilitation Time of Patients Undergoing Ruiyun Procedure for Hemorrhoids[J].Journal of Medical Information,2025,38(10):129.[doi:10.3969/j.issn.1006-1959.2025.01.025]
[6]许小桃.康复新液联合注射用奥美拉唑钠治疗消化性溃疡出血的临床效果[J].医学信息,2025,38(19):116.[doi:10.3969/j.issn.1006-1959.2025.19.024]
 XU Xiaotao.Clinical Effect of Kangfuxin Liquid Combined with Omeprazole Sodium for Injectionin the Treatment of Peptic Ulcer Bleeding[J].Journal of Medical Information,2025,38(10):116.[doi:10.3969/j.issn.1006-1959.2025.19.024]

更新日期/Last Update: 1900-01-01