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目的就特殊临床表现的糜烂性胃炎36例进行报告。方法选取我院2012年5月至2014年1月收治的36例有特殊临床表现的糜烂性胃炎患者,对Hp阳性者,要对其进行Hp根除治疗,对于以咽部异物感为主诉或者以吞咽梗阻为主诉症状的患者,可在此基础之上采用多潘立酮(10mg tid)之类的促胃动力药物,并配合针灸治疗。在消除患者的症状后,采用抗酸药物和根除Hp药物。结果本组36例患者中1周内缓解率94.4%,22例患者症状消除,12例症状减轻,2例无效;半个月后再对11例患者进行复查胃镜,2例糜烂程度未变,3例病灶消除,6例糜烂程度减轻,好转率81.8%;在1个月后再对28例患者进行复查胃镜,2例不变,8例糜烂减轻,18例糜烂消除,好转率92.9%。结论医护人员在临床过程中若遇到顽固性呃逆、咽部异物感、吞咽梗阻感患者时,应做胃镜检查、幽门螺杆菌(Hp)检测等。
Objective To report the special clinical manifestations of erosive gastritis in 36 cases. Methods 36 patients with erosive gastritis with special clinical manifestations admitted to our hospital from May 2012 to January 2014 were enrolled in this study. Hp eradication therapy was performed on Hp-positive patients. Swallowed obstruction is the chief complaint of patients with symptoms, based on this can be dominated by domperidone (10mg tid) and other gastric motility drugs, and with acupuncture treatment. After removing the patient’s symptoms, antacids and eradication of Hp drugs were used. Results The remission rate was 94.4% within one week in 36 patients. The symptoms of 22 patients were eliminated, the symptoms of 12 patients were relieved, and 2 patients were ineffective. 11 patients were examined by gastroscope after half a month, and the degree of erosion was unchanged in 2 patients. The lesions were eliminated in 3 cases, and the extent of erosion was alleviated in 6 cases. The improvement rate was 81.8%. 28 cases were examined by gastroscope one month later, 2 cases were unchanged, 8 cases were erosive and 18 cases were cured. The improvement rate was 92.9%. Conclusion If clinical staff encounter nuisance intractable hysteroscopy, pharyngeal foreign body sensation, swallowing a sense of obstruction, gastroscopy should be done, Helicobacter pylori (Hp) detection.