首页|胃复春胶囊结合二联疗法根除幽门螺杆菌的疗效观察

胃复春胶囊结合二联疗法根除幽门螺杆菌的疗效观察

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目的 观察胃复春胶囊+二联疗法对根除 H.pylori 的疗效.方法 选择 2017 年 1 月至 2021 年 1 月门诊接诊且首次H.pylori根除失败的 150 例 H.pylori感染患者,随机分为 3 组:新四联疗法组(n=50)、二联疗法组(n=50)、胃复春胶囊+二联疗法组(n=50),评价组间炎症因子水平、症状积分、胃泌素 17、复发率、H.pylori根除率.结果 治疗 14 d 后,新四联疗法组、胃复春胶囊+二联疗法组炎症因子水平、症状积分、胃泌素 17 优于二联疗法组(P<0.05),但新四联疗法组与胃复春胶囊+二联疗法组在炎症因子水平、症状积分、胃泌素 17 方面差异无统计学意义(P>0.05);随访 1 个月,新四联疗法组、胃复春胶囊+二联疗法组复发率均低于二联疗法组(P<0.05),但新四联疗法组与胃复春胶囊+二联疗法组在复发率方面差异无统计学意义(P>0.05);三组于停药后28 d复查13C呼气试验,结果显示新四联疗法组、胃复春胶囊+二联疗法组 H.pylori根除率均高于二联疗法组(P<0.05),但新四联疗法组与胃复春胶囊+二联疗法组在 H.pylori 根除率方面差异无统计学意义(P>0.05).结论 胃复春胶囊+二联疗法对根除H.pylori有较好疗效,值得推广.
Effect of Weifuchun capsule combined with dual therapy on eradication of Helico-bacter pylori
Objective To observe the efficacy of Weifuchun capsule combined with dual therapy on the eradication of H.pylori.Methods One hundred and fifty patients with H.pylori infection who were admitted to the clinic from Jan.2017 to Jan.2021 and failed to eradicate H.pylori for the first time were randomly divided into three groups:quadruple therapy group(50 cases were included and treated with quadruple therapy),dual therapy group(50 cases were includ-ed and treated with dual therapy),Weifuchun capsule combined with dual therapy group(50 cases were included and treated with Weifuchun capsule+dual therapy).The levels of inflammatory factors,symptom scores,gastrin 17,recur-rence rate and H.pylori eradication rate between groups were evaluated.Results After 14 days of treatment,the levels of inflammatory factors,symptom scores and gastrin 17 in quadruple therapy group and Weifuchun capsule combined with dual therapy group were better than those in dual therapy group(P<0.05),but there was no significant difference in the levels of inflammatory factors,symptom scores and gastrin 17 between quadruple therapy group and Weifuchun capsule combined with dual therapy group(P>0.05).After one month follow-up,the recurrence rate of quadruple ther-apy group and Weifuchun capsule combined with dual therapy group was lower than that of dual therapy group(P<0.05),but there was no significant difference between quadruple therapy group and Weifuchun capsule combined with dual ther-apy group(P>0.05).The 13 C breath test was rechecked 28 days after drug withdrawal in the 3 groups.The results showed that the H.pylori eradication rate in quadruple therapy group and Weifuchun capsule combined with dual therapy group was higher than that in dual therapy group(P<0.05),but there was no significant difference in H.pylori eradi-cation rate between quadruple therapy group and Weifuchun capsule combined with dual therapy group(P>0.05).Conclusion Weifuchun capsule combined with dual therapy has a good effect on the eradication of H.pylori,which is worthy of popularization.

Weifuchun capsuleCombination therapyEradicationHelicobacter pylori

张虹、彭波、张昌欨、罗和生

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武汉市第三医院光谷院区消化内科,湖北 武汉 430000

武汉大学人民医院消化内科

胃复春胶囊 二联疗法 根除 幽门螺杆菌

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(5)
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