CAJ | 학술논문

目的：分析胃镜下清创术联合药物治疗胃溃疡患者的疗效。方法将2009年3月～2012年3月收治的326例胃溃疡患者随机分为对照组和观察组，对照组采用枸橼酸铋钾、雷尼替丁、羟氨苄青霉素、甲硝唑等进行治疗，观察组采用胃镜下清创术联合药物治疗，比较临床疗效。结果经6周治疗后，治愈率：对照组66.87%，观察组90.80%，差异具有统计学意义（P＜0.05）；复发率：对照组22.09%，观察组5.52%，差异具有统计学意义（P＜0.05）。结论与传统治疗模式相比，胃镜下清创术联合药物治疗胃溃疡临床疗效好、复发率低，值得推广。
목적：분석위경하청창술연합약물치료위궤양환자적료효。방법장2009년3월～2012년3월수치적326례위궤양환자수궤분위대조조화관찰조，대조조채용구연산필갑、뢰니체정、간안변청매소、갑초서등진행치료，관찰조채용위경하청창술연합약물치료，비교림상료효。결과경6주치료후，치유솔：대조조66.87%，관찰조90.80%，차이구유통계학의의（P＜0.05）；복발솔：대조조22.09%，관찰조5.52%，차이구유통계학의의（P＜0.05）。결론여전통치료모식상비，위경하청창술연합약물치료위궤양림상료효호、복발솔저，치득추엄。
Objective To explore the clinical effects of gastroscope treatment for patients with gastric ulcer. Methods Selected 326 cases of patients with gastric ulcer from March 2009 to March 2012. Divide the patients into the control group and the experimental group randomly. Patients in control group were treated with bismuth potassium citrate、ranitidine、amoxicillin、metronidazole,and the patients in experimental group were treated with debridement and drugs. Compare the clinical effects of two distinct treatments. Results After 6 weeks treatments,the efficiency of control group was 66.87%while the experimental group was 90.80%. The difference was statistically significant(P<0.05). The recurrence rate of control group was 22.09%while the experimental group was 5.52%,the difference was significant(P <0.05). Conclusion Debridement under gastroscopes can improve the clinical effects of gastric ulcer,and reduce the occurrence of recurrence.