复方谷氨酰胺肠溶胶囊治疗回肠末端溃疡疗效观察.docVIP

精品论文 参考文献 复方谷氨酰胺肠溶胶囊治疗回肠末端溃疡疗效观察 苟雪琴 　　西昌市人民医院 四川凉山 615000 　　[摘要]目的 探讨复方谷氨酰胺肠溶胶囊治疗回肠末端溃疡的临床效果。方法 对2013年7月-2015年7月采用复方谷氨酰胺肠溶胶囊治疗回肠末端溃疡70例患者的临床治疗方法和效果进行报道与分析。结果 本组显效66例（94.3%）,无效 4 例（5.7%） ,总有效率 94.3% 。显效患者腹痛、粘液便消失,大便次数减少,治疗病人通过复查结肠镜溃疡、糜烂愈合,病人腹痛减轻，病变的肠黏膜恢复正常。极少数病人（4例）临床症状无明显改善复查肠镜溃疡无改变。结论 方谷氨酰胺能增强肠道免疫功能，促进肠黏膜生长修复。调节肠道功能，维持肠道内环境平衡，对末端回肠溃疡起到了非常有效的活性作用。溃疡愈合率较高，值得临床推广应用。 　　[关键词]复方谷氨酰胺肠溶胶囊;回肠末端溃疡 　　[Abstract] Objective To investigate the clinical effect of Compound Glutamin Entersoluble Capsules ileal ulcer treatment. 　　Methods In July 2013 and 2015, July by glutamine compound enteric capsule in the treatment of ulcer in the terminal ileum 70 cases of patients with clinical treatment methods and results are reported and analysed.Results In this group, 66 cases (94.3%) were markedly effective, 4 cases (5.7%) were ineffective, the total effective rate was 94.3%. Abdominal pain, mucous stool disappeared, the number of patients decreased, the treatment of patients through the review of colonoscopy, erosion healing, patients with abdominal pain, the lesion of intestinal mucosa returned to normal. A very small number of patients (4 cases) without clinical symptoms significantly improved endoscopy ulcer without change. Conclusion Glutamine can enhance the intestinal immune function and promote the growth and repair of the intestinal mucosa. Regulating the intestinal function and maintaining the environmental balance in the intestine, it is very effective to the terminal ileum ulcer. The ulcer healing rate is high, it is worthy of clinical application. 　　[Key words] Compound Glutamin Entersoluble Capsules; ileal ulcer 　　回肠末端是小肠疾病的好发部位,且症状无特异性,以往主要依靠X线检查,近年来随着内镜的广泛应用和检查技术的不断发展,出现了电子结肠镜、小肠镜以及胶囊内镜,小肠疾病的检出率有增加的趋势;特别是电子结肠镜的普及,内镜检查已成为回肠末端等疾病的首选检查及诊断方法。小肠疾病患者的临床表现与一般肠道疾病并无特异性,在患病年龄上, 30～60岁年龄组的患病率最高,男女患病率无明显差异,明确诊断有赖肠镜结合病理活检结果。2013年7月 —2015年7月 ,笔者采用复方谷氨酰胺肠溶胶囊治疗回肠末端溃疡患者70例,疗效满意,现报道如下。 　　1、 资料与方法 　　（1）临床资料 　　一般资料 :本组70例患者,其中男33 例 ,女37 例；年龄最小23岁,最大79岁,平均51岁,病程最短1个月,最长17年,平均8.5年。均根据全国消化