重症急性胰腺炎患者应用生长抑素联合奥美拉唑的治疗效果及对炎症因子的影响
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西平县人民医院

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The therapeutic effect of somatostatin combined with omeprazole in patients with severe acute pancreatitis and its influence on inflammatory factors
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    目的:研究重症急性胰腺炎(SAP)患者应用生长抑素联合奥美拉唑的治疗效果及对炎症因子[超敏C反应蛋白(hs-CRP)、白细胞介素-8(IL-8)]的影响。方法:选取我院SAP病人72例作为本次实验对象,病例收集时间为2020年3月~2024年2月,按照治疗药物不同分为单一用药组36例(采用奥美拉唑治疗)和联合用药组36例(在单一用药组基础上采用生长抑素治疗)。比较两组疗效、治疗前后炎症因子(hs-CRP、IL-8)水平、临床症状改善时间、不良反应发生率。结果:联合用药组总有效率97.22%(35/36)较单一用药组75.00%(27/36)高(P<0.05);与单一用药组相比,联合用药组治疗后hs-CRP、IL-8水平低(P<0.05);与单一用药组相比,联合用药组腹痛缓解、胃肠道功能恢复、脱离呼吸机时间短(P<0.05);联合用药组不良反应2例(5.56%)与单一用药组4例(11.11%)对比无显著差异(P>0.05)。结论:生长抑素联合奥美拉唑治疗SAP效果显著,能明显降低hs-CRP、IL-8等炎症因子水平,保护肠道屏障功能,促进症状改善,且联合用药的安全性良好。

    Abstract:

    Objective To study the therapeutic effect of somatostatin combined with omeprazole in patients with severe acute pancreatitis (SAP) and its influence on inflammatory factors [high-sensitivity C-reactive protein (hs-CRP), interleukin-8 (IL-8)]. Methods: Seventy-two cases of SAP patients in our hospital were selected as the subjects of this experiment, and the cases were collected from March 2020 to February 2024, and were divided into 36 cases of single-administration group (treated with omeprazole) and 36 cases of combined-administration group (treated with growth inhibitor on the basis of single-administration group) according to the different therapeutic drugs. The efficacy of the two groups, the levels of inflammatory factors (hs-CRP, IL-8) before and after treatment, the time to improve clinical symptoms and the incidence of adverse reactions were compared. Results: The total effective rate of 97.22% (35/36) was higher in the combination group than 75.00% (27/36) in the single-administration group (P < 0.05); compared with the single-administration group, the levels of hs-CRP and IL-8 were lower in the combined-administration group after treatment (P < 0.05); compared with the single-administration group, the relief of abdominal pain, recovery of gastrointestinal function, and the time of disengagement from respiratory machine were shorter in the combined-administration group (P <0.05); there was no significant difference between 2 cases (5.56%) of adverse reactions in the combination group compared with 4 cases (11.11%) in the single-drug group (P>0.05). Conclusion: Growth inhibitor combined with omeprazole is effective in the treatment of SAP, which can significantly reduce the levels of hs-CRP, IL-8 and other inflammatory factors, protect the intestinal barrier function, and promote the improvement of symptoms, and the safety of the combination of drugs is good.

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沈海霞.重症急性胰腺炎患者应用生长抑素联合奥美拉唑的治疗效果及对炎症因子的影响[J].四川生理科学杂志,2025,47(11):

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  • 收稿日期:2025-07-17
  • 最后修改日期:2025-08-14
  • 录用日期:2025-08-18
  • 在线发布日期: 2025-11-18
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