摩罗丹联合四联疗法治疗幽门螺杆菌阳性慢性萎缩性胃炎临床研究
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R573.32

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Clinical Study on Moluo Pellets Combined with Quadruple Therapy for Helicobacter Pylori-Positive Chronic Atrophic Gastritis
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    摘要:

    目的:观察摩罗丹联合四联疗法治疗胃络瘀阻型幽门螺杆菌(Hp) 阳性慢性萎缩性胃炎(CAG) 的临床疗效。方法:选取160 例胃络瘀阻型Hp 阳性CAG 患者为研究对象,按随机数字表法分为研究组及对 照组各80 例。对照组予以四联疗法治疗,研究组在此基础上予以摩罗丹口服治疗。观察2 组临床疗效,比较 2 组治疗后Hp 转阴率及不良反应发生率,比较2 组治疗前后血清炎症因子[肿瘤坏死因子-α(TNF-α)、白 细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]、胃肠激素[胃泌素(GAS)、胃动 素(MTL)、生长抑素(SS)]、胃蛋白酶原[胃蛋白酶原Ⅰ(PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)] 含量的变化。 结果:治疗后,研究组临床疗效总有效率为96.25%,对照组为78.75%,2 组比较,差异有统计学意义(P< 0.05)。治疗后,研究组Hp 转阴率为93.75%,对照组Hp 转阴率为81.25%,2 组比较,差异有统计学意 义(P<0.05)。治疗后,2 组血清TNF-α、IL-1β、IL-6、IL-8 水平均较治疗前下降(P<0.05),研究组上述 4 项水平均低于对照组(P<0.06)。治疗后,2 组血清GAS、SS 水平均较治疗前下降(P<0.05),MTL 水平均 较治疗前上升(P<0.05);研究组血清GAS、SS 水平均低于对照组(P<0.05),MTL 水平高于对照组(P< 0.05)。治疗后,2 组血清PGⅠ含量均较治疗前上升(P<0.05),PGⅡ含量与治疗前比较,差异无统计学意 义(P>0.05);研究组血清PGⅠ含量高于对照组(P<0.05),PGⅡ含量与对照组比较,差异无统计学意 义(P>0.05)。治疗期间,研究组不良反应发生率为11.25%,对照组不良反应发生率为8.75%,2 组药物不良 反应发生率比较,差异无统计学意义(P>0.05)。结论:摩罗丹联合四联疗法可有效提高胃络瘀阻型Hp 阳性 CAG 临床疗效水平,增强Hp 清除效果,缓解炎症反应,改善胃肠激素和胃蛋白酶原分泌水平,且不增加药物 安全性风险。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Moluo Pellets combined with quadruple therapy for Helicobacter pylori (Hp)-positive chronic atrophic gastritis (CAG) of stomach collateral stasis obstruction type. Methods: A total of 160 cases of patients with Hp- positive CAG of stomach collateral stasis obstruction type were selected as the study objects,and were divided into the study group and the control group according to the random number table method,with 80 cases in each group. The control group was treated with quadruple therapy , and the study group was additionally given the oral administration of Moluo Pellets based on the treatment of the control group. The clinical effects of CAG in the two groups were observed ; the Hp negative conversion rates and the incidence of adverse reactions after treatment were compared between the two groups; the changes in contents of serum inflammatory factors [tumor necrosis factor- α (TNF- α), interleukin- 1β (IL- 1β), interleukin- 6 (IL- 6), interleukin- 8 (IL- 8)], gastrointestinal hormones [gastrin (GAS), motilin (MTL), somatostatin (SS)], and pepsinogen [pepsinogen Ⅰ(PGⅠ) and pepsinogen Ⅱ (PGⅡ)] were compared before and after treatment between the two groups. Results:After treatment,the total effective rate was 96.25% in the study group and 78.75% in the control group, the difference being significant (P<0.05). After treatment, the Hp negative conversion rate was 93.75% in the study group and 81.25% in the control group, the difference being significant (P<0.05). After treatment, the levels of TNF- α,IL- 1β,IL- 6 and IL- 8 in serum in the two groups were decreased when compared with those before treatment (P<0.05),the the above four levels in the study group were lower than those in the control group (P<0.05). After treatment,the levels of GAS and SS in serum in the two groups were decreased when compared with those before treatment (P<0.05), and MTL levels were increased when compared with those before treatment (P<0.05);the levels of GAS and SS in serum in the study group were lower than those in the control group (P<0.05),and MTL level was higher than that in the control group (P<0.05). After treatment,the contents of serum PGⅠ in the two groups were increased when compared with those before treatment (P<0.05),and PGⅡ contents were not significantly different from those before treatment (P>0.05);the content of serum PGⅠ in the study group was higher than that in the control group (P<0.05),PGⅡ content was not significantly different from that in the control group (P>0.05). During treatment,the incidence of adverse reactions was 11.25% in the study group and 8.75% in the control group,there being no significant difference between the two groups (P>0.05). Conclusion: Moluo Pellets combined with quadruple therapy for Hp- positive CAG of stomach collateral stasis obstruction type can effectively improve the clinical effect,enhance the clearance effect of Hp, relieve inflammation, and improve the secretion of gastrointestinal hormones and pepsinogen, without increasing the risk of medication.

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李华丽.摩罗丹联合四联疗法治疗幽门螺杆菌阳性慢性萎缩性胃炎临床研究[J].新中医,2024,56(3):33-38

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  • 在线发布日期: 2024-02-23
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