首页|雷贝拉唑联合抗幽门螺杆菌治疗胃溃疡的价值探析

雷贝拉唑联合抗幽门螺杆菌治疗胃溃疡的价值探析

Analysis of the value of rabeprazole combined with anti Helicobacter pylori therapy for gastric ulcers

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目的 讨论雷贝拉唑联合抗幽门螺杆菌治疗胃溃疡的价值.方法 108 例胃溃疡患者,以随机抽取的方式将患者分到对照组(n=54,奥美拉唑联合阿莫西林治疗)和研究组(n=54,雷贝拉唑联合抗幽门螺杆菌治疗).对比两组临床指标、治疗效果、炎性因子及不良反应发生率.结果 研究组白细胞介素-1β(IL-1β)(0.17±0.03)ng/ml、胃泌素释放肽(GRP)(2.96±0.8)μg/ml、血清胃泌素(GAS)(75.23±4.71)ng/L均低于对照组的(0.34±0.02)ng/ml、(6.35±1.36)μg/ml、(93.31±5.48)ng/L,生长抑素(SS)(46.05±3.67)ng/L高于对照组的(37.98±2.58)ng/L(P<0.05).研究组治疗总有效率 98.15%显著高于对照组的 87.04%(P<0.05).治疗后,研究组肿瘤坏死因子-α(TNF-α)(8.10±0.60)pg/ml、白细胞介素-6(IL-6)(28.50±1.40)pg/ml、白细胞介素-10(IL-10)(12.20±1.60)ng/L显著低于对照组的(8.90±0.80)pg/ml、(30.30±1.70)pg/ml、(13.20±1.30)ng/L(P<0.05).研究组不良反应发生率 5.56%低于对照组的 18.52%(P<0.05).结论 胃溃疡患者采用雷贝拉唑联合抗幽门螺杆菌治疗,疗效显著.
Objective To discuss the value of rabeprazole combined with anti Helicobacter pylori therapy for gastric ulcers.Methods 108 patients with gastric ulcers were randomly divided into a control group(n=54,omeprazole combined with amoxicillin treatment)and a study group(n=54,rabeprazole combined with anti Helicobacter pylori therapy).The clinical indicators,treatment effect,inflammatory factors and adverse reactions were compared between the two groups.Results The study group interleukin-1β(IL-1β)of(0.17±0.03)ng/ml,gastrin-releasing peptide(GRP)of(2.96±0.8)μg/ml and gastrin(GAS)of(75.23±4.71)ng/L,which were lower than(0.34±0.02)ng/ml,(6.35±1.36)μg/ml and(93.31±5.48)ng/L in the control group;the study group had higher somatostatin(SS)of(46.05±3.67)ng/L than(37.98±2.58)ng/L in the control group(P<0.05).The total effective rate of the study group was 98.15%,which was significantly higher than 87.04%of the control group(P<0.05).After treatment,the study group had tumor necrosis factor-α(TNF-α)of(8.10±0.60)pg/ml,interleukin-6(IL-6)of(28.50±1.40)pg/ml and interleukin-10(IL-10)of(12.20±1.60)ng/L,which were significantly lower than(8.90±0.80)pg/ml,(30.30±1.70)pg/ml and(13.20±1.30)ng/L in the control group(P<0.05).The incidence of adverse reactions in the study group was 5.56%,which was lower than 18.52%in the control group(P<0.05).Conclusion The combination of rabeprazole and anti Helicobacter pylori therapy has a significant therapeutic effect on gastric ulcer patients.

RabeprazoleHelicobacter pyloriGastric ulcers

张家媛

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121000 锦州医科大学附属第一医院

雷贝拉唑 幽门螺杆菌 胃溃疡

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(14)
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