果胶铋四联疗法治疗幽门螺杆菌阳性消化性溃疡的疗效

摘要

Objective: To analyze the therapeutic efifcacy and safety of bismuth pectin quadruple therapy for Helicobacter pylori-positive peptic ulcer, providing a reference for improving the treatment of H. pylori-positive peptic ulcers.Methods:82 cases of Helicobacter pylori (HP-positive) peptic ulcer in our hospital during July 2012 to February 2014 were enrolled in the study, All cases were randomly divided into two groups using a random number table. Patients in the control group received routine regimen (rabeprazole, amoxicillin and clarithromycin), while the study group receiving bismuth pectin quadruple therapy (rabeprazole, amoxicillin, bismuth pectin and clarithromycin). The therapeutic effects and adverse reactions in the two groups were observed and compared.Results:The clinical effects of the study group were better compared to the control group, including the patient symptom scores and HP negative rate. The differences are statistically signiifcant (P<0.05). The adverse reactions in the study group was limited, compared to the control group no signiifcant difference was observed (P>0.05).Conclusion:The therapeutic effects of bismuth pectin quadruple therapy in Helicobacter pylori-positive peptic ulcer are preferable to the routine triple therapy. The therapy can promote early rehabilitation of patients it is worth of application.%目的：分析使用果胶铋四联疗法对幽门螺杆菌阳性消化性溃疡患者的治疗效果及安全性，为提高幽门螺杆菌阳性消化性溃疡提供参考。方法：选择2012年7月～2014年2月我院收治幽门螺杆菌阳性(Hp阳性)消化性溃疡患者共82例为研究对象，使用随机数字表方法随机分为两组。对照组使用常规方案治疗(雷贝拉唑、阿莫西林、克拉霉素)，实验组使用果胶铋四联疗法(雷贝拉唑、阿莫西林、果胶铋、克拉霉素)。对比观察两组患者治疗效果和不良反应。结果：实验组患者的治疗效果更优，患者症状积分、Hp转阴率均较好，与对照组患者比较差异明显，P＜0.05，差异有统计学意义。实验组患者治疗后不良反应少，与对照组患者比较差异不明显，P＞0.05，差异无统计学意义。结论：使用果胶铋四联疗法在幽门螺杆菌阳性消化性溃疡患者治疗的效果较好，可以促进患者的早期康复。