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吸烟对消化性溃疡影响的研究

INFLUENCE OF SMOKING ON PEPTIC ULCER

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【作者】 陈传福李鹤亭邵茂亭许春华侯云修牟卫平孙经武朱培华项在栋

【Author】 Chen Chuan-fu;Li He-ting;Shao Mao-ting;et al.(Department of Gastroenterology,Affiliated Hospital of Binzhou Medical College)

【机构】 滨州医学院附属医院消化内科

【摘要】 本组选择经胃镜检查确诊的80例消化性溃疡均为吸烟者。应用甲氰咪胍治疗3个月,在治疗期间均劝患者戒烟,结果又分为吸烟组和戒烟组。在3个月和6个月时分别复查胃镜检查,在3个月时54例溃疡愈合,占73%;吸烟组和戒烟组未愈合之溃疡的百分数相比没有显著差异。然而在6个月时,吸烟组与戒烟组未愈合之溃疡百分比有显著差异(60%比23%,P<0.05)。

【Abstract】 Eighty cigarette smoking patients with peptic ulcer diagnosed by endoscopy were studied.All the patients were advised to stop smoking and received a three-month course of cimetidine treatment,and then they were divided into two groups:patients who continued smoking and stopped smoking.Endoscopy was repeated after three months(n=74)and six months(n=64)respectively.After 3 months, treatment ulcer healing`was found in 54 patients(73%)and there was no significant difference between smoking and patients who had stopped smoking. After 6 months,however,the proportion(60%) of peptic ulcer was higher in smoking patients than(23%)ex-smokers(P<0.05).We consider that persistent smoking does not obviously affect the healing effect of cimetidine on peptic ulcer,but can prolong the duration of peptic ulcer after stopping cimetidine treatment.

【关键词】 吸烟消化性溃疡甲氰咪胍治疗
【Key words】 SmokingPeptic ulcerCimetidineTreatment.
  • 【分类号】R570.5
  • 【被引频次】1
  • 【下载频次】45
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