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

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