奥美拉唑联合甲硝唑、阿莫西林治疗 Hp感染胃溃疡 40例临床效果
吴志强
陕西省延安市安塞区妇幼保健院,陕西 延安,717400
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摘要:
目的 观察奥美拉唑联合甲硝唑、阿莫西林治疗 Hp感染性胃溃疡的临床效果。方法 将我院收治的 80例 Hp感染性胃溃疡患者随机分为对照组和观察组,每组 40例,分别采用兰索拉唑+阿莫西林+甲硝唑与奥美拉唑+阿莫西林+甲硝唑治疗。比较两组的治疗效果。结果 观察组治疗总有效率为 97.50% ,显著高于对照组的 80.00%(P<0.05)。两组治疗后的 SOD、NO 水平显著高于治疗前,观察组高于对照组(P<0.05)。治疗 30 d后,观察组 Hp清除率达 97.50% ,显著高于对照组的 75.00%(P<0.05)。结论 奥美拉唑联合甲硝唑、阿莫西林治疗 Hp感染性胃溃疡,效果显著,Hp清除效果好,治疗后血浆 SOD、NO 水平显著升高。
关键词:奥美拉唑;甲硝唑;阿莫西林;Hp;胃溃疡
中图分类号:R735.2文献标志码:A文章编号:2096-1413(2018)07-0032-02
Clinical analysis of omeprazole combined with metronidazole and amoxicillin in the
treatment of 40 cases of Hp-infected gastriculcer
W U Zhi-qiang
(Maternal and Child Health Hospital of Ansai District,Yan`an 717400, China)
ABSTRACT: Objective To observe the clinical effect of omeprazole combined with metronidazole and amoxicillin in the treatment of Hp-infected gastric ulcer. Methods Eighty cases of patients with Hp-infected gastric ulcer treated in our hospital were randomly divided into control group and observation group, with 40 casesin each geoup, lansoprazole+amoxicillin+metronidazole and omeprazole + amoxicillin + metronidazole were used respectively.The clinical effects were compared between the two groups. Results The total effective rate was 97.50% in the observation group, which washigherthan 80.00% in thecontrolgroup (P<0.05).Aftertreatment,the levels of SOD and NO in both groups those before treatment,and those in the observation group were higher than the control group (P<0.05). After 30 d of treatment,the clearance rate of Hp was 97.50% in the observation, which was higher than 75.00% in the control group (P<0.05). Conclusion The effect of omeprazole combined with metronidazole and amoxicillin on Hp-infected gastric ulcer is significant, and the clearance rate of Hp is high. After treatment, the levels of plasma SOD and NO significantly increase.
KEYWORDS: omeprazole; metronidazole; amoxicillin; Hp; gastric ulcer
参考文献:
[1] 杨瑞琦 , 毛华 , 黄丽韫 , 等 . 铝碳酸镁联合艾司奥美拉唑治疗胃溃疡黏膜愈合质量的临床研究 [J]. 中华消化杂志 ,2017,37(1):35-40.
[2] 张惠玲 , 杨玉杰 , 赵金媛 , 等 . 消菌汤治疗幽门螺杆菌感染性胃临床疗效及对幽门螺杆菌清除率的影响 [J]. 河北中医 ,2016,38(3):380-382.
[3] 陈亚松 , 汪文渊 , 蔡晓林 . 四联疗法治疗幽门螺杆菌阳性消化性溃疡疗效观察 [J]. 安徽医药 ,2012,16(6):828-829.
[4] 植绍权 , 马颖蓝 . 埃索美拉唑三联疗法在中青年与老年幽门螺杆菌相关性胃溃疡的疗效观察 [J]. 广东医学 ,2011,32(7):917-919.
[5] 胡艺 , 刘菲 , 袁颖华 , 等 . 质子泵抑制剂兰索拉唑和奥美拉唑对胃溃疡患者 MDA,SOD 及 NO 的影响 [J]. 现代生物医学进展 ,2017,17(17):3274-3277.
[6] 洪军波 , 汪安江 , 朱宏涛 , 等 .272 例残胃溃疡临床特征分析 [J]. 中华消化杂志 ,2014,34(9):593-596.
[7] 于敏莉 . 雷贝拉唑、兰索拉唑及奥美拉唑联合治疗 Hp 感染消化性胃溃疡临床疗效 [J]. 临床医学研究与实践 ,2017,2(20):17-18.
[8] 秦建设 . 补中益气活血方对胃溃疡患者血清 TFF2 和 SOD 水平的影响 [J]. 中成药 ,2015,37(4):735-738.
[9] 向未 , 杨伟兴 , 王佳 , 等 . 胃痛帖对脾胃虚寒型胃溃疡患者血清一氧化氮、一氧化氮合酶表达水平的影响 [J]. 中医外治杂志 ,2014,23(6):5-7.