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Effects comparison of different therapeutic course of Ilaprazole,bismuth and antibiotics in the treatment of Helicobacter pylori related chronic gastritis |
ZHAO Lan-min1 SHI Zhen-dong2▲ |
1.Department of Gastroenterology,Tiefa Coal Industry Group General Hospital Affiliated to Shenyang Medical College, Tieling112700,China;
2.VIP Ward,Tiefa Coal Industry Group General Hospital Affiliated to Shenyang Medical College, Tieling112700,China |
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Abstract Objective To observe the curative effect of one week therapeutic course and two weeks therapeutic course of Ilaprazole and Bismuth potassium citrate combined with two kinds of antibiotics in the treatment of Helicobacter pylori (Hp)related chronic gastritis.Methods According to random number table method,156 patients with Hp related chronic gastritis in our hospital from January 2013 to June 2015 were selected and randomly divided into group A(n=78)and group B(n=78).All patients were treated with Ilaprazole 5 mg,Bismuth potassium citrate 0.6 g,Amoxicillin 1.0 g and Levofloxacin 0.2 g,2 times a day.Group A and group B was treated with the drugs for one week and two weeks respectively.The clinical effect,Hp eradication rate and adverse reactions between two groups were compared.Results The total effective rate of group A and group B was 93.6%and 94.9%respectively,there was no significant difference between two groups(P>0.05).Hp eradication rate of group B(89.7%)was obviously higher than that of group A(75.6%),the difference was statistically significant(P<0.05).Incidence rate of adverse reactions in group A and group B was 6.4%and 9.0%respectively, there was no significant difference between two groups(P>0.05).Conclusion The cure rate and Hp eradication rate of two weeks therapeutic course of Ilaprazole and Bismuth potassium citrate combined with two kinds of antibiotics in the treatment of Hp related chronic gastritis were obviously better than one week therapeutic course,and their adverse reactions is similar.
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