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奥美拉唑治疗消化性溃疡及伴发慢性胃炎、幽门螺杆菌感染的近期疗效观察

short-term efficacy of omeprazole in the treatment of peptic ulcer and it’s accompanied chronic gastritis and helicobacter pylori infection(Abstract)

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【作者】 王芳薇; 姜春萌; 曲波; 段伟力; 臧玉华; 任立群; 孙强;

【Author】 Wang Fangwei Department of Internal Medicine,Second Affiliated Hospital,Dalian Medical College.

【机构】 大连医学院附属二院内科; 大连医学院附属二院内科; 大连医学院附属二院病理科;

【摘要】 本文报导奥美拉唑(Ome)治疗消化性溃疡及伴发慢性胃炎(CG)、幽门螺杆菌(HP)感染80例近期疗效的临床研究结果。以 Ome 20mg/日与法莫替丁(Fam)40mg/日分组治疗四周作对比研究,发现 Ome 不仅对十二指肠溃疡(Du)、胃溃疡(Gu)的愈合率(86.8%、70.4%)优于 Fam(P<0.05),而且对伴发的慢性胃炎、幽门螺杆菌感染的疗效也明显优于 Fam。Ome 对 Du、Gu伴发 CG 总有效率分别为81.1%、85.2%,高于 Fam(36.4%、29.4%)P<0.01;Ome 对 Du、Gu 伴发的 HP 感染总有效率分别为83.0%、81.5%,而 Fam仅分别为21.2%、17.7%,差异非常显著(P<0.01)。上述结果提示,奥美拉唑不仅有卓越的愈合溃疡作用,对溃疡伴发的慢性胃炎、幽门螺杆菌感染亦有显著疗效。

【Abstract】 One hundred and thirty patients with endoscopically documented active peptic ulcer,and it’s accompanied chronic gastritis(CG)and helicobacter pylori(HP)infection were divided into two groups.80 patients were treated with omeprazole 20 mg P.O.;and 50 patients were treated with famtidine(Fam)40 mg P.O.After a course of four weeks treatment,the healing rate of duodenal and gastric ulcer(Gu)were 86.8% and 70.4% in omeprazole group but were 63.6% and 47.1% in the famtidine.The therapeutic effective rate of CG accompanied with DU anb GU(81.1%,85.2% respectively)in omeprazole group were higher than in famtidine group(36.4%,29.4% respectively).The disappearing rate of HP in omeprazole group were significantly higher(DU 83.0%,Gu 81.5% respectively)than Fam group(DU 21.2%)Gu 17.7% respectively) also.In conclusion:omeprarole is a very effective drug not only for the peptic ulcer but also for it’s accompanied chronic gastritis and helicobacter pylori infection.

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