CAJ | 학술논문

目的：探讨分析长期口服阿司匹林肠溶片老年患者大便隐血及幽门螺杆菌抗体检验的结果，正确指导患者科学合理用药，以预防和减少上消化道出血的发生。方法采集30例长期口服阿司匹林肠溶片患者的大便及血样进行检测，同时进行停药后采集大便及血样进行检测，结合胃镜检查诊断溃疡病例，并对检测结果进行分析。结果30例长期口服阿司匹林肠溶片患者的大便隐血试验均有不同程度的阳性显示，胃镜检查，胃黏膜有不同程度的损伤，幽门螺杆菌抗体检查12例Hp感染。适当停药后大便隐血试验全部为阴性，随访3～6个月无再出血。结论长期口服阿司匹林肠溶片患者应该定期进行常规化验检查，密切注意有无出血倾向，根据个体差异掌握合适剂量，同时加用胃黏膜保护剂，以预防和减少上消化道出血的发生。
목적：탐토분석장기구복아사필림장용편노년환자대편은혈급유문라간균항체검험적결과，정학지도환자과학합리용약，이예방화감소상소화도출혈적발생。방법채집30례장기구복아사필림장용편환자적대편급혈양진행검측，동시진행정약후채집대편급혈양진행검측，결합위경검사진단궤양병례，병대검측결과진행분석。결과30례장기구복아사필림장용편환자적대편은혈시험균유불동정도적양성현시，위경검사，위점막유불동정도적손상，유문라간균항체검사12례Hp감염。괄당정약후대편은혈시험전부위음성，수방3～6개월무재출혈。결론장기구복아사필림장용편환자응해정기진행상규화험검사，밀절주의유무출혈경향，근거개체차이장악합괄제량，동시가용위점막보호제，이예방화감소상소화도출혈적발생。
Objective Discuss long-term oral enteric aspirin tablets elderly patients defecate occult blood and helicobacter pylori antibody test results, patients with right guidance scientific and rational drug use, in order to prevent and reduce the occurrence of upper gastrointestinal bleeding. Methods 30 patients with long-term oral enteric aspirin tablets stool and blood samples for testing were chosen, after discontinuation of simultaneous collection stool and blood samples for testing,in combination with gastroscopy diagnosis cases of ulcer, and the test results were analyzed. Results 30 cases of patients with long-term oral enteric aspirin tablets defecate occult blood test all have varying degrees of positive display, gastroscopy had different degree of gastric mucosal injury, helicobacter pylori antibody examination 12 cases of Hp infection. After discontinuation of appropriate defecate occult blood test are all negative, no further hemorrhage were followed up for 3~6 months. Conclusion Should be on regulars basis for long-term oral aspirin were examined by routine tests, pay close attention to any bleeding tendency, according to the individual differences to master appropriate dose, at the same time combined with gastric mucosa protectant, in order to prevent and reduce the occurrence of upper gastrointestinal bleeding.