四联疗法加用瑞巴派特联合益生菌治疗幽门螺旋杆菌阳性胃溃疡的疗效研究
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山东省青岛市医药卫生科研指导项目(2023-WJZD144);


The therapeutic effect of quadruple therapy combined with Rebamipide and probiotics in the treatment of Helicobacter pylori positive gastric ul-cer
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    摘要:

    目的:观察四联疗法加用瑞巴派特联合益生菌治疗对幽门螺旋杆菌(Hp)阳性胃溃疡的治疗效果。方法:选取120例Hp阳性胃溃疡患者为研究对象,按照治疗方式不同分为对照组(常规四联治疗,n=60)和联合组(常规治疗基础上加用瑞巴派特联合益生菌治疗,n=60)。对比两组患者治疗总有效率,治疗前后血清肽类胃肠激素[胃动素(MTL)、胃泌素(Gas)、生长抑素(SS)、肾上腺髓质素(AM)]、T淋巴细胞亚群水平变化情况,并对比胃镜下组织病理学情况及不良反应发生情况。结果:治疗后,联合组总有效率高于对照组(P<0.05),MTL、Gas及AM水平均低于对照组(P<0.05),SS高于对照组(P<0.05);联合组患者CD3+、CD4+水平均高于对照组(P<0.05),CD8+水平低于对照组(P<0.05);联合组患者胃黏膜表皮损伤评分低于对照组(P<0.05),Hp根除率高于对照组(P<0.05)。结论:Hp阳性胃溃疡患者接受瑞巴派特联合益生菌治疗可提高Hp根除率,并改善胃肠激素、T淋巴细胞亚群水平,减轻胃黏膜表皮损伤,且不增加不良反应。

    Abstract:

    Objective:To observe the therapeutic effect of quadruple therapy combined with Rebamipide and probiotics in the treatment of Helicobacter pylori(Hp)positive gastric ulcers.Methods:120 patients with Hp-positive gastric ulcer were di-vided into control group(n=60,conventional quadruple therapy)and combined group(n=60,addition of rebamipide combined with probiotics)according to different treatment methods.The two groups were compared in terms of total effective rate of treatment and changes of serum peptide gastrointestinal hormones[motilin(MTL),gastrin(Gas),somatostatin(SS),ad-renomedullin(AM)]and T lymphocyte subsets before and after treatment,and the histopathological conditions under gastrosco-py and adverse reactions were compared.Results:Compared with the control group,the combined group had higher total treat-ment effective rate(P<0.05).The MTL,Gas and AM in the combined group after treatment were lower(P<0.05)while the SS was higher compared to the control group(P<0.05),and the CD3+and CD4+levels were higher(P<0.05)while the CD8+level was lower(P<0.05).Compared with the control group,the gastric mucosal epidermal injury score was lower in the combined group after treatment(P<0.05),and the Hp eradication rate was higher(P<0.05).Conclusion:Rebamipide combined with probiotics for patients with Hp-positive gastric ulcer can enhance the Hp eradication rate,improve the levels of gastrointestinal hormones and T lymphocyte subsets,and relieve the gastric mucosal epidermal injury,and it will not increase adverse reactions.

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韩爱娜;王明;吴美英;崔红霞;.四联疗法加用瑞巴派特联合益生菌治疗幽门螺旋杆菌阳性胃溃疡的疗效研究[J].川北医学院学报,2025,40(9):1165-1168.

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  • 在线发布日期: 2025-10-14
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