谷氨酰胺呱仑酸钠、奥美拉唑、阿莫西林、克拉霉素联合治疗消化性溃疡的临床效果观察

    Clinical observation of marzulene combined with omeprazole, amoxicillin and clarithromycin in the treatment of peptic ulcer

    • 摘要: 目的:观察谷氨酰胺呱仑酸钠、奥美拉唑、阿莫西林、克拉霉素联合治疗消化性溃疡及根除幽门螺杆菌(Hp)感染的疗效。方法:选择经电子胃镜确诊为消化性溃疡(包括胃溃疡和十二指肠溃疡)且快速尿素酶试验阳性的患者158例,随机分为治疗组80例和对照组78例。2组患者每天2次口服奥美拉唑20 mg、阿莫西林1.0 g、克拉霉素0.5 g,其中治疗组加谷氨酰胺呱仑酸钠0.67 g,每天3次口服。2组同时进行正规治疗14 d,4周后复查电子胃镜和快速尿素酶试验,观察溃疡愈合率和Hp清除率。结果:治疗组溃疡愈合率92.50%,Hp清除率87.50%;对照组溃疡愈合率67.95%,Hp清除率60.26%,差异均有统计学意义(P0.01)。结论:谷氨酰胺呱仑酸钠、奥美拉唑、阿莫西林、克拉霉素联合治疗消化性溃疡可获得较好的效果和较高的Hp清除率,是一种安全有效的治疗方法。

       

      Abstract: Objective: To observe the effects on marzulene combined with omeprazole,amoxicillin and clarithromycin in the treatment of peptic ulcer and eliminating the infection of Helicobacter pylori(Hp).Methods: One hundred and fifty-eight peptic ulcer patients(including gastric ulcer and duodenal ulcer) were diagnosed by gastroscope,and their rapid urease tests were positive.All patients were randomly divided into treatment group(80 cases) and control group(78 cases).All patients took 20 mg omeprazole,1.0 g amoxicillinand and 0.5 g clarithromycin twice a day for 14 days by oral.The treatment groups were added 0.67 g of marzulene three times a day for 14 days.The ulcer healing and Hp clearance rates of all patients were observed by gastroscope and rapid urease test.Results: The ulcer healing and Hp clearance rates of the treatment and control group were 92.50% 87.50% vs 67.95% 60.26%,respectively,the differences on statistic were significantly(P 0.01).Conclusions: The effects and Hp clearance rates of marzulene combined with omeprazole,amoxicillin and clarithromycin in the treatment of peptic ulcer are befter and highe,this is a safe and effective therapy way.

       

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