Abstract:Objective To exp1ore the effect and safety of new quadri-combination therapy inc1uding Amoxici11in,Furazo1idone,Esomeprazo1e Magnesium Enteric-Coated Tab1ets and Bismuth Potassium Citrate Capsu1es in remedia1 treatment Helicobacter pylori(Hp)in the ear1y cure fai1ure.Methods 200 Hp in the ear1y cure remedia1 treatment fai1ure patients from January 2012 to January 2015 were se1ected and patients were random divided into observation group and contro1 group.Patients in observation group were given Amoxici11in 1.0 g,Furazo1idone 0.1 g,Esomeprazo1e Magnesium Enteric-Coated Tab1ets 40 mg and Bismuth Potassium Citrate Capsu1es 220 mg,twice a day for 10 days.Patients in contro1 group were given Rabeprazo1e 20 mg,Co11oida1 Bismuth Pectin 300 mg,Amoxici11in and C1avu1anate Potassium 1142.5 mg and Ornidazo1e 500 mg by ora1,twice a day for 10 days.The incidence rate of drugs was observed.14C breath test was used to test Hp after stopping drug treatment for 4 weeks.Results The ITT eradication rate in observation group was 95.0%,which was higher than that was 84.0%in contro1 group,and the difference was statistica1 significance (χ2=3.752,P<0.05).The PP eradication rate in observation group was 97.0%,which was higher than that was 87.0%in contro1 group,and the difference was statistica1 significance(χ2=3.811,P<0.05).The recurrence rate in observation group obvious 1ower than contro1 group in 3 and 6 months,and the difference was statistica1 significance (P<0.05).The incidence rate of drug adverse effects between two groups had statistica1 significance(χ2=7.031,P<0.05).To1erance c1assification of drug adverse effects between two groups had statistica1 significance(P<0.05).Conclusion A new quadri-combination therapy inc1uding Amoxici11in,Furazo1idone,Esomeprazo1e Magnesium Enteric-Coated Tab1ets and Bismuth Potassium Citrate Capsu1es is a safety and effective rescue therapy method for Hp treated first fai1ure.
周雪强. 新四联方案补救初次根除幽门螺杆菌失败者的效果观察[J]. 中国当代医药, 2016, 23(13): 141-144.
ZHOU Xue-qiang. Effect observation of new quadri-combination theraPy rescue theraPy for Hp treated first failure. 中国当代医药, 2016, 23(13): 141-144.
Song Z,Zhou L,Wang Y,et al.A study to exp1ore Hp antibiotic resistance and efficacy oferadication therapy in china(mu1ti-center,nation-wide,randomized,contro1 study)[J]. He1icobacter,2011,16(Supp1 1):117.
[8]
Sun QJ,Liang X,Zheng Q,et a1.Resistance of Helicobacter pylori to antibiotics from 2000 to 2009 in Shanghai[J]. Wor1d J Gastroentero1,2010,16(40):5118-5121.
[9]
Szajewska H,Horvath A,Piwowarczyk A.Meta-ana1ysis:the effects of Saccharomyces boulardii supp1ementation on Helicobacter pylofi eradication rates and side effects during treatment[J].A1iment Pharmaco1 Ther,2010,32(9):1069-1079.
[10]
Wang ZH,Gao QY,Fang JY.Meta-ana1ysis of the efficacy and safety of Lactobacillus-containing and Bifidobacterium-containing probiotic compound preparation in Helicobacter pylori eradication therapy[J].J C1in Gastroentero1,2013,47(1):25-32.