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免疫刺激剂在幽门螺杆菌根除治疗中的疗效评价 被引量:3

Efficacy evaluation of immune-stimulating agents in Helicobacter pylori eradication therapy
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摘要 目的观察和评价免疫刺激剂联合三联疗法在幽门螺杆菌(Hp)根除治疗中的临床疗效。方法将150例Hp阳性患者随机分为2组,治疗组给予免疫刺激剂(匹多莫德口服液)联合三联疗法(奥美拉唑+克拉霉素+阿莫西林)治疗,对照组单纯采用三联疗法治疗,观察2组患者的临床疗效。结果治疗组Hp根除率(92.0%)明显高于对照组(64.0%),差异有统计学意义(P<0.01);治疗组症状缓解率(73.3%)显著高于对照组(56.0%),差异有统计学意义(P<0.05);治疗组不良反应发生率(8.0%)低于对照组(17.3%),但差异无统计学意义(P>0.05)。治疗组复发率(21.7%)显著低于对照组(43.8%),差异有统计学意义(P<0.05)。结论免疫刺激剂联合三联疗法可提高Hp根除率、临床症状缓解率、Hp复发率,减少抗生素不良反应,可直接用于根除Hp的一线首次治疗。 Objective To observe and evaluate the clinical efficacy of immune stimulant combined with triple therapy in Helicobacter pylori(Hp) eradication therapy.Methods A total of 150 Hp-positive patients were randomly divided into treatment group and control group.The treatment group received immune-stimulating agent(pidotimod oral solution) combined with triple therapy(omeprazole,clarithromycin,and amoxicillin amoxicillin),and the control group only received triple therapy.The clinical efficacy of the two groups was observed.Results The HP eradication rate in the treatment group(92.0%) was obviously higher than that in the control group(64.0%)(P0.05).The recurrence rate in the treatment group(21.7%) was obviously lower than that in the control group(43.8%).Conclusion Immune stimulant combined triple therapy can improve the eradication rate,remission rate of clinical symptoms,recurrence rate of Hp infection,and reduce the adverse reactions of antibiotics.It can be directly used for the first-line treatment of Hp eradication on the first attempt.
作者 张中极
出处 《实用临床医药杂志》 CAS 2012年第15期135-137,共3页 Journal of Clinical Medicine in Practice
关键词 免疫刺激剂 HP根除治疗 疗效 immune-stimulating agent Hp eradication therapy efficacy
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  • 1成虹,胡伏莲.北京地区幽门螺杆菌耐药情况及其变化趋势[J].中华医学杂志,2005,85(39):2754-2757. 被引量:176
  • 2胡品津,胡伏莲.中华医学会第四次全国幽门螺杆菌学术会议纪要[J].中华消化杂志,2005,25(11):698-699. 被引量:55
  • 3Shu-Kui Wang,Hui-Fang Zhu,Bang-Shun He,Zhen-Yu Zhang,Zhi-Tan Chen,Zi-Zheng Wang,Guan-Ling Wu.CagA+ H pylori infection is associated with polarization of T helper cell immune responses in gastric carcinogenesis[J].World Journal of Gastroenterology,2007,13(21):2923-2931. 被引量:15
  • 4Fory~st-Ludwig A, Naumartn M. p21-activaied kinase 1 activates the nuclear factor kappa B (NF-kappa B)-inducing kinase-Ikappa B kinases NF-kappa B pathway and proinflammatory cytokines in Helicobacter pylori infection. J Biol Chem 2000: 275:39779-39785.
  • 5Maeda S, Yoshida H, Ogura K, Mitsuno Y, Hirata Y, Yamaji Y, Akanuma M, Shiratori Y, Omata M. H. pylori activates NF-kappaB through a signaling pathway involving IkappaB kinases, NF-kappaB-inducing kinase, TRAF2, and TRAF6 in gastric cancer cells. Gastroenterology 2000: 119:97-108.
  • 6Sharma SA, Tummuru MK, Blaser MJ, Kerr LD. Activation of IL-8 gene expression by Helicobacter pylori is regulated by transcription factor nuclear factor-kappa B in gastric epi- thelial cells. J Immuno11998: 160:2401-2407.
  • 7Baeuerle PA. The inducible transcription activator NFkappa B: regulation by distinct protein subunits. BiochimBiophys Acta 1991: 1072:63-80.
  • 8Karin M, Ben-Neriah Y. Phosphorylation meets ubiquitination: the control of NF-[kappa]B activity. Annu Rev Immunol 2000: 18:621-663.
  • 9Zandi E, Karin M. Bridging the gap: composition, regulation, and physiological function of the IkappaB kinase complex. Mol Cell Biol 1999: 19:4547-4551.
  • 10Woronicz JD, Gao X, Cao Z, Rothe M, Goeddel DV. IkappaB kinase-beta: NF-kappaB activation and complex forma- tion with IkappaB kinase-alpha and NIK. Science 1997: 278: 866-869.

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