复方阿嗪米特肠溶片治疗胆囊切除术后消化不良的临床疗效分析.docxVIP

复方阿嗪米特肠溶片治疗胆囊切除术后消化不良的临床疗效分析 曾静 （四川省南充市第四人民医院急诊科四川南充637000） 【摘要】冃的：探讨复方阿嗪米特肠溶片治疗胆囊切除术后消化不良的临床 疗效。方法：本研究将收治的胆囊切除术后消化不良患者按照数字表法随机分为 研究组和对照组，其屮对照组采用抑酸、促动力药常规治疗，研究组在常规治疗 的基础上加用复方阿嗪米特肠溶片治疗，比较两组患者的临床治疗效果。结果: 研究组患者治疗食欲不振、腹胀、腹痛的临床疗效明显优于对照组（chi;2二5.65、 4.66、4.18, PV0.05）。研究组治疗后食欲不振、腹胀、暧气、腹痛等症状改善 均明显优于对照组（t=3?45、8.97、4.01、3.76, PV0.05）。结论：复方阿嗪米特 肠溶片治疗胆囊切除术后消化不良的临床疗效确切，无明显不良反应，值得临床 推广使用。 【关键词】复方阿嗪米特；胆囊切除术后；消化不良 【中图分类号】R453 【文献标识码】A 【文章编号】1007-8231 (2015) 21-0105-02 Clinical analysis of compound azintamide enteric-coated tablets in treatment of dyspepsia after cholecystectomy [Abstract] Objective To investigate the clinical effect of compound azintamide enteric-coated tablets in treatment of dyspepsia after cholecystectomy. Methods Patients with dyspepsia after cholecystectomy were randomly divided into study group and control groupaccording to the number table method. The control group was treated with acid suppression, prokinetic drugs routine treatment, and the study group was treated with compound azintamide enteric-coated tablets on the basis of conventional treatment. The clinical effect was compared between the two groups? Results Anorexia, abdominal distension，abdominal pain clinical curative effect of the study group was obviously superior to the control group (chi;2=5.65, 4.66, 4.18, Plt; 0.05) ? After treatment, the symptoms of anorexia, abdominal distention, belching and abdominal pain improvement were sign讦icantly better than the control group (t=3.45, 897, 4.01 and 3.76, Plt; 0.05)? Conclusion The clinical effect of compound azintamide enteric-coated tablets in treatment of dyspepsia after cholecystectomy was exact, and had no obvious adverse reactions」t was worth for clinical use. 【Key words］ Compound azintamide enteric-coated tablets; After cholecystectomy; Dyspepsia 胆囊切除术是有关胆道外科的一种常见手术，是临床治疗胆囊结石、胆管癌、 胆管堵塞等疾病的首选方法⑴。但通常患者在手术后数月或短期内会不同程度 的出现一些与胆囊疾病相关的并发症，而消化不良便是胆囊切除术后最常见的一 种，40%?60%的患者术后会岀现不同程度的消化不良症状［2?3］。一般患者的主 要表现为肚子胀痛、胃部灼烧感、缺乏食欲、暧气、恶心、早饱等，严重的可导 致患者出现营养不良及体重下