首页|布拉氏酵母菌联合含铋剂四联疗法对幽门螺杆菌阳性消化性溃疡的治疗效果研究

布拉氏酵母菌联合含铋剂四联疗法对幽门螺杆菌阳性消化性溃疡的治疗效果研究

扫码查看
目的:分析布拉氏酵母菌联合含铋剂四联疗法治疗幽门螺杆菌(Helicobacter pylori,HP)阳性消化性溃疡(Peptic ulcer,PU)的疗效.方法:回顾性收集 2022 年 1 月至 2023 年 12 月期间本院收治的 166 例HP阳性PU患者的临床资料.按不同治疗方案将患者分为对照组(接受含铋剂四联疗法治疗,n=83)和观察组(接受布拉氏酵母菌+含铋剂四联疗法治疗,n=83).分析比较两组的临床疗效、Hp根除率、黏膜组织学评分、肠道菌群、胃肠功能指标、血清炎症因子及不良反应.胃肠功能指标、血清炎症因子采用酶联免疫法测定.结果:观察组Hp根除率、治疗总有效率均显著高于对照组(P<0.05).治疗后,观察组的黏膜厚度、形态、腺体密度、炎症细胞浸润评分均显著低于对照组(P<0.05).治疗后,观察组的肠道菌群、胃肠功能指标、血清炎症因子改善程度优于对照组(P<0.05).两组不良反应发生率无显著差异(P>0.05).结论:HP阳性PU患者采用布拉氏酵母菌联合含铋剂四联疗法治疗,能调节肠道菌群平衡,促进黏膜愈合,提高 HP 根除率,抑制炎症反应,改善胃肠功能,提高疗效,且安全性高.
Study on the effect of quadruple therapy with Saccharomyces burra combined with bismuth-containing agent on Helicobacter pylori positive peptic ulcer
Objective:To analyze the efficacy of saccharomyces bulla combined with bismuth-containing quadruple therapy in the treatment of Pepticulcer(PU)positive Helicobacter pylori(HP).Methods:The clinical data of 166 HP-positive PU patients admitted to our hospital from January 2022 to December 2023 were retrospectively collected.Patients were divided into control group(receiving bismuth-containing quadruple therapy,n=83)and observation group(receiving yeast burra+bismuth-containing quadruple therapy,n=83)according to different treatment regimens.The clinical efficacy,Hp eradication rate,mucosal histological score,intestinal flora,gastrointestinal function indicators,serum inflammatory factors,and adverse reactions were analyzed and compared between the two groups.The gastrointestinal function indicators and serum inflammatory factors were measured using enzyme-linked immunosorbent assay.Results:The eradication rate and total effective rate of Hp in observation group were significantly higher than those in control group(P<0.05).After treatment,the mucosal thickness,morphology,gland density and inflammatory cell infiltration score in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the improvement of intestinal flora,gastrointestinal function indicators,and serum inflammatory factors in the observation group was better than that in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment of HP positive PU patients with yeast Burra combined with bismuth-containing quadruple therapy can regulate the balance of intestinal flora,promote mucosal healing,increase the eradication rate of HP,inhibit inflammation,improve gastrointestinal function,improve curative effect,and have high safety.

Helicobacter pyloriSaccharomyces burraBismuthQuadruple therapyPeptic ulcer

刘源

展开 >

南阳豫西健和医院药学部,河南 南阳 474500

幽门螺杆菌 布拉氏酵母菌 铋剂 四联疗法 消化性溃疡

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(9)
  • 8