马斯蒂克口香糖作为标准木四重疗法的辅助疗法,用于消除Helicobacter pylori:一个随机的单盲试点研究
Vinay Tulsian1, Ravi Kant2, Itish Patnaik3
1Department of General Medicine, All India Institute of Medical Sciences, Rishikesh, 249 203, India.
概括
在Helicobacter pylori根除的标准芝麻四倍疗法中添加乳糖,显示了更高根除率的趋势,并显著改善了消化不良症状. 组合疗法耐受性良好且安全.
科学领域:
- 胃肠病学 胃肠病学
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 杆菌感染是一个全球性的健康问题,与日益增长的抗菌素耐药性.
- 标准的木四倍疗法 (BQTs) 是常见的,但在治疗失败的情况下面临挑战.
- 需要新的治疗策略来提高H. pylori根除率.
研究的目的:
- 评估将乳糖纳入H.pylori根除标准BQT中的有效性和安全性.
- 评估辅助口香糖对消化不良症状严重性的影响.
- 确定组合治疗的安全性和合规性.
主要方法:
- 一个单盲,随机的试点试验,涉及H. pylori感染的成年人.
- 参与者接受了标准BQT加上口香糖 (A组) 或单独标准BQT (B组) 两周.
- 主要终点:通过尿素呼吸测试消除H. pylori的速度;次要终点:症状改善 (DSSI),不良事件和遵守.
主要成果:
- 与B组 (67%) 相比,A组的根除率更高 (85%),但在统计学上并不显著 (p=0.19).
- 两组都观察到消化不良症状严重性指数 (DSSI) 评分的显著改善,A组的改善更大 (p=0.001).
- 这两种疗法都被很好地容忍,并具有很高的遵守率 (每个组的84.4%).
结论:
- 在BQT中添加口香糖表明了H. pylori根除率增加的趋势,但在本试点研究中没有达到统计学意义.
- 辅助疗法显著改善了消化不良症状的缓解.
- 马斯蒂克口香糖与BQT的组合是安全的,耐受性很好,并且在H. pylori患者的症状管理方面显示出希望.
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