十二指肠溃疡有哪些药可以治疗 赵东兵 中国医学科学院肿瘤医院 скачать в хорошем качестве

十二指肠溃疡有哪些药可以治疗 赵东兵 中国医学科学院肿瘤医院

十二指肠溃疡有哪些药可以治疗 赵东兵 中国医学科学院肿瘤医院 十二指肠溃疡合并有类癌综合症的就需要药物治疗，生长抑制类奥曲肽这一种能有效抑制患者潮红腹泻等临床表现，总的来说治疗效果不错的。目标是控制症状，促进溃疡愈合，预防复发及避免并发症。目前最常用的药物分为以下几类：（1）抑制胃酸分泌药目前临床上主要有H2受体拮抗剂及质子泵抑制剂。PPI促进溃疡愈合的速度较快、愈合率较高，是治疗十二指肠溃疡的首选用药。常用的PPI有奥美拉唑、泮托拉唑、兰索拉唑、雷贝拉唑、埃索美拉唑、艾普拉唑等。（2）黏膜保护剂与抑制胃酸药联用可提高溃疡愈合质量，减少溃疡复发。（3）促胃肠动力药主要用于出现恶心、呕吐、腹胀等症状的患者以促进胃肠排空，缓解症状。（4）根除幽门螺杆菌 What drugs can be used to treat duodenal ulcer Duodenal ulcer with carcinoid syndrome needs medication, Octreotide, a kind of growth inhibitory peptide, can effectively inhibit the clinical manifestations of patients with red tide and diarrhea, Generally speaking, the treatment effect is good. The goal is to control symptoms, Promote ulcer healing, Prevent recurrence and complications. At present, the most commonly used drugs are divided into the following categories: (1) at present, there are mainly H2 receptor antagonists and proton pump inhibitors. PPI promotes ulcer healing faster and has a higher healing rate, It is the first choice for the treatment of duodenal ulcer. The commonly used PPIs are omeprazole, pantoprazole, lansoprazole, rabeprazole, esomeprazole, eprazole, etc. (2) The combination of mucosal protective agent and gastric acid inhibitor can improve the quality of ulcer healing, Reduce ulcer recurrence. (3) Gastrointestinal motility drugs are mainly used to promote gastrointestinal emptying in patients with nausea, vomiting, abdominal distention and other symptoms, Relieve symptoms. (4) Eradication of Helicobacter pylori