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·论著· J Med Res Mar 2012 Vol. 41 No. 3
胃食管反流食管外症状的治疗研究
金忠海楼放毅楼正才吴小洪陈华英应光荣
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摘要目的探讨胃食管反流食管外症状的诊断及治疗。方法 218 例伴食管外症状的 GERD 患者随机分为 3 组给予
莫沙必利+ 奥美拉唑 20mg 每日 1 次 A 组、奥美拉唑 20mg 每日 1 次 B 组及莫沙必利+ 奥美拉唑 20mg 每日 1 次 C 组治疗。
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观察治疗 6 个月的症状及体征情况。结果 B 组与 A、C 两组症状有效率及痊愈率差异显著 P < 0. 05 然而 A 组与 C 组无显
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著差异 P > 0. 05 但 C 组显示比 A 组高 18% 的痊愈率。此外 B 组与 A、C 两组体征有效率无显著差异 P > 0. 05 。但 C 组与
A、B 两组痊愈率差异显著 P < 0. 05 。结论双倍剂量质子泵抑制剂+ 莫沙必利可有效控制胃食管反流食管外症状。
关键词胃食管反流咽部异常感觉莫沙必利质子泵抑制剂
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Treatment of Extraesophageal Sympotoms in Patients with Gastroesophageal Reflux. Jin Zhonghai Lou Fangyi Lou Zhengcai Wu Xiao-
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hong Chen Huaying Ying Guangrong. Digestive System Department Yiwu Central Hospital Zhejiang 322000 China
Abstract Objective To discuss the diagnosis and treatment of extraesophageal sympotoms in patients with gastroesophageal reflux.
Methods A total of 218 patients with extraesophageal sympotoms were distributed into three groups mosapride plus omeprazole 20mg /d
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A group omeprazole 20mg /d B group and mosapride plus omeprazole 20mg /d C group . The signs and sympotoms were estimated
after fowlling - up 6 months. Results The difference was statistically significant P < 0. 05 between A groups and B groups with regard to
effective rate or cure rate for sympotom. The defference was statistically significant P < 0. 05 between C group
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