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Clinical effect of Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease |
ZHENG Yi1 WANG Wenbin2 SHAN Chunyan3#br# |
1.Department of Otolaryngology, Suzhou Ninth People’s Hospital, Jiangsu Province, Suzhou 215200, China;
2.Department of Otolaryngology, Suzhou Municipal Hospital, Jiangsu Province, Suzhou 215200, China;
3.Department of Otolaryngology, Suzhou City Wujiang Hospital of Traditional Chinese Medicine, Jiangsu Province, Suzhou 215200, China |
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Abstract Objective To explore the clinical efficacy of Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease. Methods A total of 82 patients with gastroesopha-geal reflux pharyngo-laryngeal disease admitted to Suzhou Ninth People’s Hospital, Jiangsu Province from January 2020 to November 2021 were selected as the research objects. They were divided into study group and control group by computer random number method, with 41 cases in each group. The control group was treated with Lansoprazole, and the study group was treated with Fumarate Vorolasan Tablets combined with Lansoprazole. The clinical efficacy, symptoms of laryngopharyngeal reflux, gastrointestinal hormones, and serum inflammatory factors were evaluated at 28 days after administration, and the incidence of adverse reactions in both groups was recorded. Results The clinical effect of the study group was better than that of the control group (P < 0.05). After treatment, the reflux disease questionnaire (RDQ) score, gastrointestinal impact scale (GIS) score, and the levels of tumor necrosis factor -α (TNF-α), interleukin-1β (IL-1β), and vasoactive intestinal peptide in two groups were lower than those before treatment, and gastrin level was higher than before treatment (P < 0.05). After treatment, RDQ, GIS score, and levels of TNF-α, IL-1β, and vasoactive intestinal peptide in the study group were lower than those in the control group, while gastrin level was higher than that in the control group (P < 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion Fumarate Vorolasan Tablets combined with Lansoprazole in the treatment of gastroesopha-geal reflux pharyngo-laryngeal disease patients, which has superior clinical efficacy and good safety, worthy of promotion.
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[1] 崔小缓,蒋兴旺,张延平,等.咽喉反流性疾病患者肠道菌群变化的初步研究[J].听力学及言语疾病杂志,2021, 29(3):282-288.
[2] 周长华,桂明才,廖曼各,等.成人咽喉反流性疾病发病影响因素及其与睡眠状态关系的研究[J].中国耳鼻咽喉头颈外科,2021,28(7):448-451.
[3] 李进让,王嘉森,吴慕坤,等.不同类型咽喉反流性疾病患者临床特征的比较[J].中华耳鼻咽喉头颈外科杂志,2021,56(1):55-61.
[4] 马秀梅,陈宝军,张振新.质子泵抑制剂抗胃酸反流治疗声带肉芽肿的疗效观察[J].中国中西医结合耳鼻咽喉科杂志,2019,27(4):285-288.
[5] 黄耀,贾庆生.兰索拉唑治疗胃食管反流病的疗效及安全性[J].实用临床医药杂志,2020,24(4):94-96,100.
[6] 汪希,鱼美蓉,雷振民.兰索拉唑加莫沙比利治疗反流性食管炎患者临床疗效及对患者生活质量影响[J].贵州医药,2020,44(6):919-920.
[7] 何金杰,程能能.钾离子竞争性酸阻断剂——伏诺拉生[J].中国临床药学杂志,2019,28(3):219-222.
[8] 中华中医药学会脾胃病分会.胃食管反流病中医诊疗专家共识意见(2017)[J].中国中西医结合消化杂志,2017, 25(5):321-326.
[9] Nuevo J,Tafalla M,Zapardiel J. Validation of the Reflux Disease Questionnaire(RDQ)and Gastrointestinal Impact Scale(GIS)in patients with gastroesophageal reflux disease in the Spanish population [J]. Gastroenterol Hepatol,2009,32(4):264-273.
[10] 胡浩磊,李谊,张鹏臻.成人咽喉反流性疾病对咽鼓管功能的影响研究[J].中国眼耳鼻喉科杂志,2021,21(3):181-184.
[11] 陈伟,邹哲飞,孙苏光,等.咽喉反流性疾病患者生活质量与焦虑抑郁状况分析[J].听力学及言语疾病杂志,2019, 27(3):276-280.
[12] 黄宁,王阿敏,郑彦焱,等.咽喉反流性疾病患者精神心理状态分析[J].中国耳鼻咽喉头颈外科,2019,26(2):92-95.
[13] 兰德,魏雪梅,任婷婷,等.咽喉反流性疾病患者焦虑抑郁状况分析及其对疗效的影响[J].四川医学,2020,41(5):472-475.
[14] 黄坚,邓家征.长期使用质子泵抑制剂对反流性食管炎小肠细菌过度生长的影响及双歧杆菌的纠正作用[J].中国临床研究,2020,33(6):784-787.
[15] 吴国丽,邱晶,李晓慧,等.逍遥丸联合兰索拉唑治疗老年胃食道反流病的疗效及对胃肠激素的影响[J].药物评价研究,2020,43(7):1335-1338.
[16] 黄晓娟,折彩梅,黄晓龙.和胃通降汤联合兰索拉唑治疗非糜烂性胃食管反流病的疗效观察[J].贵州医药,2020,44(12):1910-1912.
[17] 周军怀.泄热降逆汤联合兰索拉唑肠溶胶囊治疗肝胃郁热证反流性食管炎的疗效研究[J].现代消化及介入诊疗,2021,26(8):1021-1024.
[18] 汪凯杰,贾一鑫.伏诺拉生治疗胃食管反流病相较于传统质子泵抑制剂的优势[J].国际消化病杂志,2021,41(5):334-337.
[19] 孙菁,袁耀宗.胃食管反流病药物治疗:新型抑酸药物进展[J].中华消化杂志,2019,39(10):718-720.
[20] 黄博,崔德军,赵寻,等.伏诺拉生治疗难治性反流性食管炎的临床疗效及安全性[J].临床合理用药杂志,2021, 14(25):18-20.
[21] 张晓睿,何仲贵.HPLC法测定兰索拉唑肠溶片中13种有关物质[J].沈阳药科大学学报,2020,37(7):603-610.
[22] 敬光怀.兰索拉唑治疗以慢性咽炎为表现的胃食管反流病患者的临床效果[J].中国医药科学,2021,11(1):137-140.
[23] 刘俊伟,郑城婷,郑仕诚,等.咽喉反流性疾病患者食管上括约肌压力高分辨测量的诊断价值[J].中国耳鼻咽喉颅底外科杂志,2020,26(4):443-447.
[24] 杨胜兰,向正国,陈旭峰,等.内镜下EMR切除胃肠息肉的效果及胃肠激素水平变化分析[J].中国医药导报,2021,18(14):111-114.
[25] 吕秀娟,陈新,王艳.替吉奥联合奥沙利铂治疗对中晚期胃癌患者血清胃泌素、survivin抗体表达的影响[J].中国医药导报,2019,16(11):97-100.
[26] 邓远中.幽门螺杆菌根除性治疗联合益生菌在慢性胃炎患者中的应用效果及对胃泌素水平的影响分析[J].中国医药科学,2022,12(9):173-175,200.
[27] 张旭.埃索美拉唑联合莫沙必利对反流性食管炎患者血清胃泌素和胃蛋白酶原及炎症因子水平的影响[J].中国医药,2020,15(12):1905-1908.
[28] 王坤,王娟,隋新,等.旋金降逆汤联合左金丸治疗反流性食管炎的临床研究[J].中国医药导报,2021,18(14):136-139.
[29] 梁效铭.疏肝和胃方合左金丸加减治疗肝胃郁热型胃食管反流病的疗效及对胃肠激素水平的影响[J].中国医药科学,2022,12(5):197-200.
[30] 王娜,旷历琼,杨英,等.新疆地区胃食管反流病食管外表现与白细胞介素1β基因多态性的相关性[J].胃肠病学和肝病学杂志,2020,29(5):547-551. |
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