三联疗法联合心理干预治疗老年消化性胃溃疡的效果观察

摘要

Objective To study and analyze the effects of triple therapy (clarithromycin, amoxicillin, and lansorazole) combined with psychological intervention in the treatment of elderly peptic gastric ulcer. Methods 100 patients with aged gastrointestinal ulcer who were admitted to the hospital from February 2015 to April 2016 were selected as the study subjects, randomly divided into the control group and the experimental group, and 50 patients in each group.The control group was treated with conventional treatment, the experimental group was treated with triple therapy (clarithromycin, amoxicillin, lansorazole) combined with psychological intervention therapy, pay attention to the psychological state of the patients, strengthen the communication and exchanges with the patient, the treatment of patients with increased confidence and treatment compliance. The treatment effect of the experimental group and the control group was compared. Results After the corresponding treatment, the effective rate of treatment in the experimental group was 96.0%, significantly higher than the control group (86.0%), the difference was statistically significant (P<0.05). No obvious adverse reactions were found in the experimental group and the control group. The recurrence rate in the control group was 400%, which was significantly higher than that in the experimental group (14.0%), the difference was statistically significant (P<0.05). Conclusion Triple therapy (clarithromycin, amoxicillin, lansorazole) combined with psychological intervention in treatment of elderly peptic ulcer effect is good, can significantly improve the treatment efficiency, the recurrence rate is low.%目的 探讨三联疗法(克拉霉素、阿莫西林、兰索拉唑)联合心理干预治疗老年消化性胃溃疡的效果.方法 选取杭州市红十字会医院2015年2月~2016年4月收治的100例老年消化性胃溃疡患者为研究对象,随机分为对照组和实验组,每组50例.对照组患者进行常规治疗,实验组患者给予三联疗法(克拉霉素、阿莫西林、兰索拉唑)联合心理干预治疗,关注患者的心理状态,加强与患者的沟通和交流,增加患者的治疗信心和治疗依从性.比较分析实验组与对照组患者治疗效果.结果 经过对应的治疗后,实验组患者的治疗有效率为96.0%显著高于对照组(86.0%),差异具有统计学意义(P<0.05).实验组与对照组患者均未出现明显的不良反应.对照组复发率40.0%,显著高于实验组复发率(14.0%),差异有统计学意义(P<0.05).结论 三联疗法(克拉霉素、阿莫西林、兰索拉唑)联合心理干预治疗老年消化性胃溃疡效果较好,能够显著提高治疗有效率,复发率较低.