首页|瑞巴派特联合抗Hp四联疗法对慢性萎缩性胃炎患者PG、胃泌素与炎性因子水平的影响

瑞巴派特联合抗Hp四联疗法对慢性萎缩性胃炎患者PG、胃泌素与炎性因子水平的影响

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目的 分析采用瑞巴派特联用抗幽门螺杆菌(Helicobacter Pylori,Hp)四联根除疗法治疗慢性萎缩性胃炎对患者血清胃蛋白酶原、胃泌素与炎性因子的影响.方法 选取北京市丰台中西医结合医院于2018年3月—2020年11月收治的112例慢性萎缩性胃炎患者为研究对象,用随机信封法分为对照组和观察组,各56例,两组均予以抗Hp四联疗法,观察组同时联合瑞巴派特治疗,对比两组临床疗效、不良反应情况及治疗前后血清胃蛋白酶原(Pepsinogen,PG)、胃泌素、炎性因子水平.结果 治疗后,相较于对照组,观察组PG、胃泌素水平升高,炎性因子水平降低,差异有统计学意义(P均<0.05);观察组总有效率(98.21%)高于对照组(85.71%),差异有统计学意义(χ2=4.350,P<0.05).结论 瑞巴派特联合抗Hp四联疗法治疗慢性萎缩性胃炎,可有效提升血清PG、胃泌素水平,降低炎性因子水平.
Effects of Rebamipide Combined with Anti-Hp Quadruple Therapy on the Levels of PG,Gastrin and Inflammatory Factors in Patients with Chronic Atrophic Gastritis
Objective To analyze the effect of combination of rebamiphene and anti Helicobacter pylori(Hp)qua-druple therapy in Serum pepsinogen,gastrin,and inflammatory factors of patients with chronic atrophic gastritis.Methods A total of 112 patients of chronic atrophic gastritis admitted to Fengtai Hospital of Integrated Traditional Chinese and Western Medicine from March 2018 to November 2020 were selected as the study objects,and were di-vided into the control group(n=56)and the observation group(n=56)by applying the randomized envelope method.Both groups were treated with anti-Hp quadruple therapy,and the observation group was simultaneously combined with rebamipide.The clinical efficacy,adverse reactions and the levels of serum pepsinogen(PG),gastrin and inflam-matory factors were compared between two groups.Results After treatment,the level of PG and gastrin of the observa-tion group increased,while the level of inflammatory factors decreased comparing with the control group,the differ-ences were statistically significant(all P<0.05).The total effective rate of the observation group(98.21%)was higher than that of the control group(85.71%),and the difference was statistically significant(χ2=4.350,P<0.05).Conclu-sion Rebamipide combined with anti-Hp quadruple therapy in the treatment of chronic atrophic gastritis can effec-tively elevate serum PG and gastrin levels and reduce the level of inflammatory factors.

RebamipideAnti-Hp quadruple therapyChronic atrophic gastritisPepsinogenGastrinInflammatory factor

曹志军、李伟、张颖

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北京市丰台中西医结合医院消化科,北京 100072

北京市丰台中西医结合医院心内科,北京 100072

瑞巴派特 抗幽门螺杆菌四联疗法 慢性萎缩性胃炎 胃蛋白酶原 胃泌素 炎性因子

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)