传染病信息2024,Vol.37Issue(6) :546-549.DOI:10.3969/j.issn.1007-8134.2024.06.013

伏诺拉生联合阿莫西林治疗幽门螺杆菌感染首次治疗患者的临床疗效及安全性研究

Clinical efficacy and safety study of the combination of vonoprazan and amoxicillin in the treatment of first-time patients with Helicobacter pylori infection

朱志超 郭雅丽 张健 曹翠云
传染病信息2024,Vol.37Issue(6) :546-549.DOI:10.3969/j.issn.1007-8134.2024.06.013

伏诺拉生联合阿莫西林治疗幽门螺杆菌感染首次治疗患者的临床疗效及安全性研究

Clinical efficacy and safety study of the combination of vonoprazan and amoxicillin in the treatment of first-time patients with Helicobacter pylori infection

朱志超 1郭雅丽 1张健 1曹翠云1
扫码查看

作者信息

  • 1. 101100,首都医科大学附属北京潞河医院消化科
  • 折叠

摘要

目的 研究伏诺拉生联合阿莫西林治疗幽门螺杆菌(Helicobacter pylori,Hp)感染首次治疗患者的临床疗效和安全性.方法 选取2022年3月至2023年2月在首都医科大学附属北京潞河医院接受治疗的首次治疗的Hp感染者100例,分为对照组(n=44)和研究组(n=56),对照组接受四联治疗方案(雷贝拉唑+胶体果胶铋+阿莫西林+克拉霉素),研究组接受二联治疗方案(伏诺拉生+阿莫西林),比较2组治疗疗效、症状缓解时间及不良反应.结果 研究组治疗后Hp根除率显著高于对照组(94.64%vs.81.82%)(P<0.05),并且研究组治疗后1个月Hp复发率显著低于对照组(3.77%vs.22.22%)(P<0.05);研究组治疗后胃部疼痛缓解时间、消化道其他症状缓解时间低于对照组(P<0.05);研究组治疗期间不良反应发生率显著低于对照组(7.14%vs.22.73%)(P<0.05).结论 伏诺拉生联合阿莫西林治疗首次治疗Hp感染根除率高,治疗期间不良反应发生率低,并且治疗后Hp复发率低.

Abstract

Objective To study the clinical efficacy and safety of vororacin combined with amoxicillin in patients receiving first treatment of H.pylori(Helicobacter pylori,Hp)infection.Methods A total of 100 Hp infected patients first treated at Beijing Luhe Hospital affiliated to Capital Medical University from March 2022 to February 2023 were selected and divided into control group(n=44)and study group(n=56).Patients in the control group received a quadruple treatment plan(rabeprazole+Colloidal Bismuth Pectin+amoxicillin+clarithromycin),while patients in the study group received a dual treatment plan(vonoprazan+amoxicillin).Treatment efficacy,time to symptom relief and adverse effects were compared between the two groups.Results The Hp eradication rate in the study group was significantly higher than the control group(94.64%vs.81.82%,P<0.05),and the Hp recurrence rate 1 month after treatment in the study group was significantly lower than that in the control group(3.77%vs.22.22%,P<0.05);The duration of pain relief and other gastrointestinal symptoms in the study group were lower than those in the control group(P<0.05);The incidence of adverse reactions during the treatment period was significantly lower than that in the control group(7.14%vs.22.73%,P<0.05).Conclusion The combination therapy of Vonoprazan and Amoxicillin has a high eradication rate of Hp infection in the first treatment,a low incidence of adverse reactions during treatment,and a low recurrence rate of Hp after treatment.

关键词

伏诺拉生/阿莫西林/幽门螺杆菌/首次治疗

Key words

vonoprazan/amoxicillin/helicobacter pylori/frst treatment

引用本文复制引用

出版年

2024
传染病信息
解放军第三0二医院

传染病信息

CSTPCD
影响因子:1.366
ISSN:1007-8134
段落导航相关论文