铝碳酸镁联合兰索拉唑治疗幽门螺旋杆菌相关性胃溃疡的临床疗效分析

目的探讨铝碳酸镁联合兰索拉唑治疗幽门螺旋杆菌相关性胃溃疡的临床疗效。方法选取2016年10月至2019年1月我院收治的73例幽门螺旋杆菌相关性胃溃疡患者,根据治疗方式分为四联组(35例)和联合铝碳酸镁组(38例)。四联组采用常规四联疗法治疗,联合铝碳酸镁组在四联组基础上采用铝碳酸镁片治疗。治疗8周复查胃镜评估患者的治疗效果。观察两组的幽门螺旋杆菌根除、复发情况与不良反应情况。结果联合铝碳酸镁组的总有效率为94.74%,显著高于四联组的74.29%(P<0.05)。治疗4周、8周后,联合铝碳酸镁组的幽门螺旋杆菌根除率分别为78.95%、94.74%,显著高于四联组的57.14%、77.14%(P<0.05)。结论铝碳酸镁联合兰索拉唑治疗幽门螺旋杆菌相关性胃溃疡,可进一步提高治疗效果,有助于清除幽门螺旋杆菌。     

兰索拉唑、克拉霉素、甲硝唑三联疗法治疗幽门螺杆菌相关性溃疡病疗效观察

目的探讨兰索拉唑、克拉霉素、甲硝唑三联疗法治疗幽门螺杆菌相关性溃疡病的效果。方法对51例确诊为幽门螺杆菌(Hp)感染的胃溃疡、十二指肠溃疡患者利用兰索拉唑、克拉霉素、甲硝唑三联疗法进行治疗,观察溃疡愈合情况及Hp根除情况。结果本疗法对溃疡的总有效率为90%,Hp根除率为88%。结论兰索拉唑、克拉霉素、甲硝唑三联疗法治疗幽门螺杆菌相关性溃疡具有药物剂量小、Hp根除率高、溃疡愈合迅速、疗程短等优点,值得在临床上推广应用。     

联用兰索拉唑与铝碳酸镁治疗胃溃疡43例临床疗效分析

目的分析并评价联合使用铝碳酸镁以及兰索拉唑对胃溃疡的临床疗效。方法将我院自2009年10月至2010年12月期间收治的86例活动性胃溃疡病人随机分成观察组及对照组各43例,两组均先实施幽门螺杆菌根除的三联疗法,给予60mg/d兰索拉唑＋800mg/d甲硝唑＋500mg/d克拉霉素。治疗二周后,观察组在给予40mg/d兰索拉唑的同时再给予铝碳酸镁;对照组仅给予40mg/d兰索拉唑,口服。全部病人均连续给药8周。结果观察组的痊愈率（60.5%）高于对照组的痊愈率（30.2%）,两组对比差异显著（P〈0.05）,具统计学意义;观察组的总有效率（88.4%）高于对照组的总有效率（67.4%）,两组对比差异显著（P〈0.05）,具统计学意义,两组均无明显的不良反应发生。结论联合使用兰索拉唑与铝碳酸镁对胃溃疡的临床治疗效果明显优于单独使用兰索拉唑,是一种治疗胃溃疡安全且有效的方法,值得临床广泛推广。     

莫西沙星治疗幽门螺旋杆菌胃病的临床疗效观察

目的:观察并探讨莫西沙星治疗幽门螺旋杆菌胃病的临床疗效。方法:随机选取2018年1月至2018年12月期间的72例幽门螺旋杆菌胃病患者当作研究对象。按照治疗方案的不同,将72例患者分为2组,各36例。对照组应用甲硝唑+兰索拉唑+阿莫西林三联疗法,研究组应用甲硝唑+兰索拉唑+莫西沙星三联疗法。观察并比较2组的临床疗效。结果:研究组的总有效率94.44%明显高于对照组的72.22%,差异有统计学意义(P 0.05)。结论:莫西沙星治疗幽门螺旋杆菌胃病,疗效确切,值得推广。     

埃索美拉唑治疗2型糖尿病合并胃溃疡的疗效分析

目的:研究分析埃索美拉唑治疗2型糖尿病合并胃溃疡的治疗效果.方法:选取我院2013年1月至2014年12月收治的40例2型糖尿病合并胃溃疡患者作为研究对象,采用随机数字法将40位患者分为观察组与对照组,每组各20例患者.观察组和对照组均采用常规的降糖治疗,观察组采用埃索美啦唑肠溶片+克拉霉素缓释胶囊+阿莫西林克拉维酸钾分散片三联法;对照组患者采用奥美拉唑肠溶片+克拉霉素缓释胶囊+阿莫西林克拉维酸钾分散片三联疗法.观察2组患者临床治疗效果和清除幽门螺旋杆菌情况.结果:观察组临床治疗效果和幽门螺旋杆菌的根除率均高于对照组,存在统计学意义且P<0.05.结论:埃索美拉唑三联疗法应用于2型糖尿病合并胃溃疡治疗中,治疗效果显著,幽门螺旋杆菌的根除率高于奥美拉唑三联疗法,可以在临床治疗中推广应用.     

铝碳酸镁联合兰索拉唑治疗幽门螺杆菌相关性胃溃疡患者的临床效果

目的评价铝碳酸镁联合兰索拉唑治疗幽门螺杆菌相关性胃溃疡患者的临床效果。方法抽取医院2017年7月至2018年7月收治的70例幽门螺杆菌相关性胃溃疡患者作为研究对象,随机将其分为对照组和试验组,各35例。对照组采用兰索拉唑治疗,试验组采用铝碳酸镁联合兰索拉唑治疗,比较两组炎症因子水平、临床治疗效果、复发率。结果与对照组比较,试验组炎症介质水平较优(P<0.05);与对照组比较,试验组临床治疗效果较好(P<0.05);与对照组比较,试验组复发率较低(P<0.05)。结论铝碳酸镁联合兰索拉唑治疗幽门螺杆菌相关性胃溃疡患者,临床疗效显著,对改善患者炎症介质水平、降低复发率具有积极作用。     

不同质子泵抑制剂三联疗法治疗幽门螺杆菌阳性消化性溃疡疗效的比较

目的比较使用不同质子泵抑制剂(奥美拉唑、兰索拉唑和埃索美拉唑)三联疗法治疗幽门螺杆菌阳性消化性溃疡的疗效。方法将内镜诊断为幽门螺杆菌阳性的消化性溃疡患者120例分为以下三组:①奥美拉唑三联疗法组40例;②兰索拉唑三联疗法组40例;③埃索美拉唑三联疗法组40例。用药结束1个月后复查胃镜,检测幽门螺杆菌。结果奥美拉唑、兰索拉唑和埃索美拉唑治疗组的溃疡愈合率分别为75.0%、80.0%和92.5%;治疗总有效率分别为90.0%、92.5%和97.5%。埃索美拉唑治疗组的溃疡愈合率及治疗总有效率均明显高于其它两组,奥美拉唑治疗组和兰索拉唑治疗组的溃疡愈合率及治疗总有效率没有明显差异。奥美拉唑、兰索拉唑和埃索美拉唑治疗组的幽门螺杆菌根除率分别为70.0%、77.5%和87.5%,埃索美拉唑治疗组的幽门螺杆菌根除率明显高于其它两组,奥美拉唑治疗组和兰索拉唑治疗组的幽门螺杆菌根除率没有明显的统计学差异。结论三组三联疗法方案均能有效治疗消化性溃疡,并有效地根除幽门螺杆菌,但埃索美拉唑三联疗法的效果明显优于其它两种方案。     

幽门螺杆菌相关性胃溃疡应用埃索美拉唑三联疗法治疗的疗效观察

目的:分析观察幽门螺杆菌相关性胃溃疡应用埃索美拉唑三联疗法治疗的疗效。方法:选取2013年2月20日~2014年2月20日收治的100例幽门螺杆菌相关性胃溃疡患者,随机分为对照组与分析组,每组50人,对照组患者采用兰索拉唑片三联疗法进行治疗,分析组患者采用埃索美拉唑三联疗法进行治疗,分析比较两组患者治疗效果。结果:分析组疗效果明显,比对照组治疗效果好。结论:幽门螺杆菌相关性胃溃疡应用埃索美拉唑三联疗法治疗的疗效较好,能够有效的缓解患者症状,提高治疗效率。     

三联疗法与胃炎灵联合治疗胃溃疡幽门螺旋杆菌感染60例的临床研究

目的 探讨三联疗法与胃炎灵联合治疗胃溃疡幽门螺旋杆菌感染的临床疗效.方法 选取我院2010年2月至2014年1月期间收治的120例幽门螺旋杆菌感染胃溃疡患者为研究对象,将其随机分为观察组和对照组,每组各60例.对照组采用雷贝拉唑＋阿莫西林＋克拉霉素三联疗法治疗,观察组在对照组基础上加用胃炎灵治疗.比较两组患者治疗总有效率、幽门螺旋杆菌根除率及胃溃疡复发率.结果 观察组治疗总有效率高达96.7％,对照组为86.7％,两组比较差异具有统计学意义（P＜0.05）;观察组治疗后幽门螺旋杆菌根除率为93.3％,对照组为80.0％,两组比较差异具有统计学意义（P＜0.05）;观察组治疗后胃溃疡复发率为3.3％,对照组为15.0％,两组比较差异具有统计学意义（P＜0.05）.结论 三联疗法联合胃炎灵治疗胃溃疡幽门螺旋杆菌感染效果较好,可有效提高幽门螺旋杆菌根除率,安全可靠,不良反应少.     

三联疗法治疗幽门螺杆菌感染胃溃疡疗效比较

目的探讨雷贝拉唑、兰索拉唑及奥美拉唑三联疗法治疗幽门螺杆菌(Hp)感染消化性胃溃疡临床疗效及安全性,为临床治疗Hp感染消化性胃溃疡提供参考。方法选择2010年3月-2014年6月医院收治的128例Hp感染性胃溃疡患者为研究对象,将患者随机分为A组42例、B组43例与C组43例,A组患者给予奥美拉唑+阿莫西林+克拉霉素,B组患者给予兰索拉唑+阿莫西林+克拉霉素,C组患者给予雷贝拉唑+阿莫西林+克拉霉素,连续治疗4周,评价患者症状改善及治疗后溃疡愈合及Hp根除情况。结果治疗后总有效率A组为76.19%、B组为74.42%、C组为81.39%,3组比较差异无统计学意义;3组Hp根除率比较差异无统计学意义;3组临床症状与胃溃疡面直径均显著减少(P<0.05);3组IL-6、IL-8水平均显著低于治疗前(P<0.05);治疗后IL-6、IL-8水平3组比较均无显著差异;不良反应发生率A组为9.52%、B组为11.63%、C组为6.98%,3组比较差异无统计学意义。结论雷贝拉唑、兰索拉唑及奥美拉唑三联疗法均可根除Hp,促进胃溃疡愈合,缓解消化性胃溃疡临床症状,雷贝拉唑三联疗法在促进胃溃疡愈合及改善临床症状优于兰索拉唑及奥美拉唑。     

有性才会有健康

性是基本的人权。根据我国著名的性学家史成礼教授的研究,性有“三大功能”:生育功能、享乐功能和健康功能。     

Communicating with people with dementia

It can be very difficult to communicate with people with dementia. Each case requires its own unique handling. Not every scenario is covered, as many times your own judgment is what will work, best according to the circumstances. These can change from dawn to evening and from day to day. Never assume things will be the way they were the last time you communicated. Be on your guard. Be adaptable. The article will help get you started to think of your own ways to communicate.     

经方汗证治验

临床上汗证病情复杂,分自汗、盗汗、黄汗和但头汗出,治疗汗证方药诸多,有益气固表、养阴清热和清热除湿等方法,疗效不一。受恩师刘健主任教导和《伤寒论》《金匮要略》病脉证并治启发,以脉证并治、方证对应思想,浅谈桂枝加附子汤、黄芪芍药苦酒汤、柴胡桂枝干姜汤和三物黄芩汤治疗汗证的经验,为经方治疗汗证提供新思路。     

Working with patients with physical disabilities

Medical practices need to make a number of adaptations to ensure that their facilities and staff are accessible to patients and other office visitors with physical disabilities. This article describes 10 specific strategies for preparing your medical practice for patients with disabilities, both inside and outside your office. It describes minimum standards for office doorways, sidewalk inclines, ramps, reception areas, and other adaptations medical offices need to make. The article also describes specific do and don't advice for communicating with patients with physical disabilities. It suggests strategies for preparing written materials for disabled patients, for communicating verbally, and for providing healthcare education. Finally, it suggests an appropriate role for medical practice staff in the delivery of healthcare services to patients with physical disabilities.     

Coping with Children with ADHD: Coping Styles of Mothers with Children with ADHD or Challenging Behaviours

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) can experience significant levels of stress in their parenting roles, however, little is known about the specific coping strategies used by these parents. This pilot study Investigated the coping strategies used by mothers of children with ADHD. A 34 item questionnaire was developed to identify maternal coping strategies. A cohort of 38 mothers of children with ADHD and a control group of 30 mothers of children without ADHD or any other disability/illness completed the questionnaire. Factor analysis of responses produced three factors: Aggressive/Confrontive Coping, Rational Coping, and Indirect Coping. These factors are similar to coping dimensions proposed by Folkman and Lazarus. Comparisons between the two groups of mothers revealed that mothers of children with ADHD used significantly more Indirect Coping.     

Problems with measuring satisfaction with social care

The measurement of customer satisfaction has become widespread in both healthcare and social care services, and is informative for performance monitoring and service development. Satisfaction with social care services is routinely measured with a single question on overall satisfaction with care, comprising part of the Adult Social Care Survey. The measurement of satisfaction has been problematised, and existing satisfaction measures are known to be under‐theorised. In this article, the process of making an evaluation of satisfaction with social care services is first informed by a literature review of the theoretical background, and second examined through qualitative interviews conducted in 2012–2013 with 82 service users and family carers in Hampshire, Portsmouth and Southampton. Participants in this study were from white British and South Asian backgrounds, and the influence of ethnicity in the process of satisfaction evaluation is discussed. The findings show that the majority of participants selected a positive satisfaction rating even though both positive and negative experiences with services were described in their narratives. It is recommended that surveys provide opportunity for service users and family carers to elaborate on their satisfaction ratings. This addition will provide more scope for services to review their strengths and weaknesses.     

Ending clinical relationships with people with schizophrenia

The potential for the social worker-client relationship to contribute to therapeutic outcomes is not always apparent with clients who have schizophrenia. Their cognitive impairments often make it difficult for these clients to regulate interpersonal boundaries and for social workers to connect with them. Clinical practice is enhanced, however, by recognizing that severely impaired clients have the capacity and desire for relationships with service providers and others. The manner in which the clinical relationship ends is important for maintaining clinical gains and determining whether the client will risk investing in future relationships. The purpose of this article has been to sensitize social workers to the delicate nature of managing the endings of those relationships.