标准三联疗法联合蒲地蓝消炎口服液治疗儿童幽门螺杆菌感染胃炎的临床研究

Clinical effect of standard triple therapy combined with Pudilan anti- inflammatory oral solution on treatment of children with gastritis induced by Helicobacter pylori infection

  • 摘要: 目的 观察标准三联疗法+蒲地蓝消炎口服液治疗幽门螺杆菌感染性胃炎的疗效及安全性,为临床治疗方案选择提供参考。方法 选取医院2015年1月-2016年8月收治的幽门螺杆菌感染胃炎患儿100例,根据其就诊顺序编号,采用数字随机表法将其分成对照组和治疗组,每组各50例; 治疗组采用标准三联疗法+蒲地蓝治疗,14 d为一个疗程; 对照组采用标准三联疗法治疗,14 d为一个疗程; 比较两组患者一个疗程后临床症状改善情况、幽门螺杆菌根除率及治疗过程的药物不良反应; 分析标准三联疗法+蒲地蓝消炎口服液治疗儿童幽门螺杆菌感染胃炎的疗效及安全性。结果 两组患儿均完成既定治疗方案,治疗组与对照组的幽门螺杆菌根除率分别为86.0%,76.0%,治疗组高于对照组,比较差异无统计学意义; 治疗组患儿腹痛、恶心、呕吐及口气重症状改善率明显高于对照组,组间比较差异有统计学意义(P<0.05); 两组患儿治疗过程中,治疗组出现皮疹、腹泻; 对照组出现腹泻,治疗组高于对照组,但组间比较差异无统计学意义。结论 标准三联疗法+蒲地蓝消炎口服液14 d疗法不能显著提高Hp的根除率,但能明显改善患儿消化道症状,且未显著增加患儿的不良反应,说明该方法较之于单纯标准三联疗法具有一定的优势,可扩大研究范围,规范治疗方案,提升患儿生活质量。

     

    Abstract: OBJECTIVE To observe the efficacy and safety of standard triple therapy plus Pudilan anti-inflammatory oral solution in treatment of gastritis induced by Helicobacter pylori infection so as to provide guidance for clinical treatment.METHODS A total of 100 children with H.pylori gastritis who were treated in hospitals from Jan 2015 to Aug 2016 were enrolled in the study and were randomly divided into the control group and the treatment group according to the serial number of treatment, with 50 cases in each group.The treatment group was treated with standard triple therapy plus Pudilan, with 14 days a treatment course; the control group was given the standard triple therapy, with 14 days a treatment course.The status of improvement of clinical symptoms and clearance rate of H.pylori were compared between the two groups of patients after one treatment course, the drug-induced adverse reactions were observed during the treatment process; the efficacy and safety of the standard triple therapy plus Pudilan anti-inflammatory oral solution in treatment of the children with gastritis induced by Helicobacter pylori infection were analyzed.RESULTS The children of both groups completed the established treatment plans.The clearance rate of H.pylori of the treatment group was 86.0%, higher than 76.0% of the control group, and there was no significant difference.The rates of improvement of abdominal pain, nausea, vomiting and heavy breath symptoms were significantly higher in the treatment group than in the control group, and there was between-group difference (P<0.05).The children of the treatment group had skin rash and diarrhea during the treatment, and the children of the control group had diarrhea, the incidence of diarrhea of the treatment group was higher than that of the control group, however, there was no between-group difference.CONCLUSIONThe standard triple therapy plus Pudilan anti-inflammatory oral solution, with 14 days a treatment course, can not remarkably raise the clearance rate of the H.pylori but can remarkably improve the digestive tract symptoms without significant increase of adverse reactions, indicating that the method has more advantages than the single standard triple therapy; it is necessary to expand the scope of study and standardize the treatment plans so as to improve the quality of life of the children.

     

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