一周的根除治疗方案用于Helicobacter pylori
R P Logan1, P A Gummett, J J Misiewicz
1Parkside Helicobacter Study Group, Central Middlesex Hospital, London, UK.
短暂的七天治疗,将三二二甲酸盐和阿莫西西林与美特罗尼达结合在一起,在72%的患者中有效消灭了Helicobacter pylori. 这种疗法是安全的,耐受性很好,对于对美特龙醇敏感的H.pylori感染特别有效.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 药理学 药理学 是一个学科.
背景情况:
- 杆菌感染是胃炎和十二指肠复发的常见原因.
- 目前针对H. pylori根除的现有治疗方案缺乏完全的安全性和有效性.
研究的目的:
- 评估H. pylori感染的短期根除方案的疗效和安全性.
- 评估对甲尼达耐药性对治疗结果的影响.
主要方法:
- 一种为期七天的治疗方案,包括三二二甲酸盐,阿莫西西林和美特罗尼达给了106名感染H. pylori的患者.
- 患者有胃潰瘍或非潰瘍性消化不良.
- 对H. pylori的根除率和副作用进行了监测;对甲尼达的敏感性进行了评估.
主要成果:
- 在76/106名 (72%) 患者中成功根除了H. pylori.
- 与耐药菌株患者相比,对美特龙醇敏感的H. pylori患者的根除率 (93%) 显著高于耐药菌株患者.
- 报告了轻微的副作用,最常见的是味觉障碍.
结论:
- 一周的根除疗法是H. pylori的安全,有效和耐受良好的治疗选择.
- 甲尼达的敏感性是这一疗法的成功的一个关键因素.
- 这种治疗为对美特龙醇敏感的H.pylori感染提供了具有成本效益的方法.
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