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雷贝拉唑治疗十二指肠球部溃疡伴幽门螺杆菌感染的疗效观察 被引量:2

Observation on the effects of rabeprazole therapy in Helicobacter pylori positive duodenal bulbar ulcer
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摘要 目的:观察雷贝拉唑治疗十二指肠球部溃疡及根除幽门螺杆菌感染的疗效。方法:90例随机分为2组:治疗组45例口服雷贝拉唑20 mg bid×4wk;对照组45例口服奥美拉唑20 mg bid×4wk。均合用克拉霉素0.5 g bid×7d,阿莫西林1.0 g bid×7d,硫糖铝1.0 g qid×4wk。治疗4周作症状评价、胃镜评价及Hp检测。结果:治疗后两组症状均有明显改善,治疗1d、7d治疗组疗效均高于对照组,有极显著差异(P<0.01)。治疗组Hp根除率高于对照组,有显著差异(P<0.05)。结论:雷贝拉唑能迅速有效缓解DU症状、有效根除Hp和促进溃疡愈合,疗效比奥美拉唑更好。 Objective: To observe the elect of rabeprazole in the treatment of duodenal bulbar ulcer with Helicobacter pylori infection. Methods: Totally 90 patients with duodenal bulbar ulcer and Hp infection were randomly divided into two groups. Group A (45 cases)were treated with rabeprazole(20 mg), elarithromycin(500 mg)and amoxicillin( 1 000 mg)twice daily. Group B (45 cases ) were treated with omeprazole ( 20 mg) , clarithromycin ( 500 mg) and amoxicillin ( 1 000 mg) twice daily. The treatment lasted for 7 days, and the two groups were both treated with sucralfate( 1 000 mg) fourth daily for four weeks. After treatment, they were reexamined with gastroscopy and HP test, and symptoms were evaluated and compared. Results: The symptoms of two groups were ameliorated visibly. The curative effect of ulcer and in rabeprazole treated group was better than that of random treated group( P 〈 0. 01 ). Conclusion: The cure rate of ulcer and the radical cure rate of HP, in rabeprazole treated group were higher than random treated group ( P 〈0.05).
作者 孙文龙 周军
出处 《药学与临床研究》 2008年第5期383-385,共3页 Pharmaceutical and Clinical Research
关键词 雷贝拉唑 奥美拉唑 十二指肠球部溃疡 幽门螺杆菌 Rabeprazole Omeprazole Duodenal bulbar ulcer Helicobacter pylori
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