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奥美拉唑、羟氨苄青霉素和小剂量呋喃唑酮混悬液根除胃Hp感染

Omeprazole amoxicillin and lowdose of furazolidone suspension therapy for Helicobacter pylori infection
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摘要 目的探讨奥美拉唑、羟氨苄青霉素和小剂量呋喃唑酮混悬液对幽门螺杆菌(Hp)的根除率方法Hp相关的十二指肠溃疡和慢性胃炎患者136例,随机分为3组.第1组(n=46)用奥美拉唑、羟氨等青霉素和小剂量呋喃唑酮混悬液三联治疗1wk.第2组(n=45)用同样的药物和剂量2wk.第3组(n=45)用胶体铋剂、羟氨苄青霉素和灭滴灵三联治疗2wk.Hp检测根据尿素酶试验和组织Warthin-Starry银染色法检查结果第1,2和3组的Hp根除率分别为88.9%,955%和71.4%.第1组与第3组,第2组与第3组比较差异均有显著性(P<0.05),而第1组与第2组比较无明显差异.第3组患者出现不良反应者比前两组明显增多.结论奥美拉唑、羟氨苄青霉素和小剂量呋喃唑酮混悬液联合治疗Hp感染,具有根除率高和副作用少的优点. AIM To study the eradication rate of Helicobacter pylori (Hp) infection using triple therapy of Omeprazole (Losec)amoxicillin and low-dose of furazolidone suspension.METHODS Hp associated chronic gastritis or duodenal ulcer patients (n=136) were randomly divided into 3 groups. Group 1 (n=46) and Ⅱ (n = 45) were treated with triple therapy of losec, amoxicillin and low-dose furazolidone suspension for 1 week, and 2 weeks. Group Ⅲ(n=45) were treated with triple therapy of colloidal bismuth subcitrate amoxicillin and metronidazole for 2 weeks. The Hp status was determied by rapid urease test and histology of Warthin-Starry silver stain.RESULTS The Hp eradication rates of Group Ⅰ,Ⅱ,and Ⅲ were 88.9%, 95.5% and 71.4% resPeCtively. The difference of eradication rate between Group Ⅰ and Group Ⅲ, or Group Ⅱ and Group Ⅲ was significant (P<0.05).the difference betWeen Group Ⅰ and Groop Ⅱ was statistically insignificant.The frequency of side effects in Group Ⅲ was higher than that in Group Ⅰ or Ⅱ.CONCLUSION The triple therapy with losec, amoxicillin and low-dose of furazolidone suspesion is an effective and Well tolerated treatment for eradication of Hp infection.
作者 黄跃 许鲁宁
出处 《世界华人消化杂志》 CAS 1998年第S2期127-128,共2页 World Chinese Journal of Digestology
关键词 奥美拉唑/投药和剂量 青霉素类/投药和剂量 呋喃唑酮/投药和剂量 螺杆菌感染/药物疗法 Omeprazole /administration and dosage penicillins/administration and dosage furazolidone/administration and dosage Helicobacter infections/drug therapy
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