Quadruple therapy with standard triple therapy for Helicobacter pylori eradication efficacy.doc
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Quadruple therapy with standard triple therapy for Helicobacter pylori eradication efficacy
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Quadruple therapy with standard triple therapy for Helicobacter pylori eradication efficacy
Abstract Objective To observe the colloidal bismuth pectin, pantoprazole, amoxicillin and clarithromycin, quadruple therapy with the composition of pantoprazole, amoxicillin and clarithromycin composition of standard triple therapy, eradication of H. Lo bacilli (HP) of the efficacy and safety. Methods 98 patients with peptic ulcer or chronic gastritis and HP-positive adult patients were randomly divided into 2 groups. The treatment group of 50 patients: Bismuth Pectin 100mg orally 3 times a day, pantoprazole 40mg 2 times a day orally, 3 times a day amoxicillin 500mg oral clarithromycin 500mg 2 times a day orally. Control group, 48 cases: 2 pantoprazole 40mg daily oral dose of amoxicillin 500mg orally 3 times a day, clarithromycin 500mg 2 times a day orally, the withdrawal of 4 weeks HP. HP eradication rate of the treatment group 92% in the control group the eradication rate of 79.2%, the two groups was statistically significant (P lt;0.05). The incidence of adverse reactions was 16% and 14.6%, the incidence of adverse reactions compared the two groups was not significant (Pgt; 0.05). Conclusion quadruple therapy compared with triple therapy for eradication of HP better.
Keywords: quadruple therapy with standard triple therapy for Helicobacter pylori
1 INTRODUCTION Helicobacter pylori colonization in gastric mucosa is a surface micro-aerobic. 1982 Australian scholar MasShal and Warren first isolated and cultured from Helicobacter pylori on gastric mucosa, and proved it with gastroduodenal diseases, especially chronic gastritis and peptic ulcer pathogenesis. After 20 years of worldwide research results show a large number of Helicobacter pylori in chronic gastritis and peptic ulcer disease, but also the bacteria and the incidence of gastric cancer and gastric MALT lymphoma is also closely related to [1] . The HP infection and
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