首页|铋剂四联疗法在幽门螺杆菌根除治疗中的应用现状及研究进展

铋剂四联疗法在幽门螺杆菌根除治疗中的应用现状及研究进展

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幽门螺杆菌(Helicobacter pylori,Hp)是一种常见的胃黏膜病原体,与胃炎、消化性溃疡、胃癌等多种胃肠道疾病密切相关.铋剂四联疗法(Bismuth quadruple therapy,BQT)作为一种Hp感染综合治疗方案,由2种抗生素、质子泵抑制剂(Proton pump inhibitor,PPI)和铋剂组成,近年来在Hp根除治疗中显示出较高的疗效和安全性.本综述旨在研究BQT在Hp根除治疗中的应用现状,并探讨抗生素耐药性对BQT疗效的影响及BQT相关研究进展.BQT作为一种有效的Hp根除治疗方案,在当前的治疗实践中面临着抗生素耐药性的挑战.未来的研究应着重于优化治疗或开发新的抗生素以及探索个体化治疗策略,以进一步提高Hp的根除率.
Current status and recent advances in the use of bismuth quadruple therapy for heli-cobacter pylori eradication
Helicobacter pylori(Hp)is a common gastric mucosa pathogen,closely associated with various gastrointestinal diseases such as gastritis,peptic ulcers,and gastric cancer.Bismuth quadruple therapy(BQT),as a comprehensive treatment plan for Hp infection,consists of two antibiotics,a proton pump inhibitor(PPI)and bismuth.In recent years,it has demonstrated high efficacy and safety in the eradication treatment of Hp.This review aims to as-sess the current application of BQT in Hp eradication treatment and explore the impact of antibiotic resistance on the ef-ficacy of BQT as well as the latest research progress related to BQT.In summary,BQT,as an effective treatment regi-men for Hp eradication,faces the challenge of antibiotic resistance in current clinical practice.Future researches should focus on optimizing treatment,developing new antibiotics,and exploring personalized treatment strategies to further improve the eradication rate of Hp.

Helicobacter pyloriBismuth quadruple therapyEradication rateAntibioticsDrug resistance

邓婧、郑明琳、郭毅、何璐璐、占美

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四川大学华西医院临床药学部(药剂科),四川成都 610041

幽门螺杆菌 铋剂四联疗法 根除率 抗生素 耐药性

2025

实用药物与临床
辽宁省药学会,中国医科大学附属盛京医院

实用药物与临床

影响因子:1.633
ISSN:1673-0070
年,卷(期):2025.28(1)