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低剂量一周三联疗法(兰索拉唑、阿莫西林、克拉霉素)用于根除幽门螺杆菌感染。

Low dose, one-week triple therapy (lanzoprazole, amoxycillin, clarithromycin) for eradication of Helicobacter pylori infection.

作者信息

Uthaisaengsook W

机构信息

Medicine Unit, Putachinnaraj Hospital, Phitsanulok 65000, Thailand.

出版信息

J Med Assoc Thai. 2003 Jul;86(7):599-602.

Abstract

OBJECTIVE

To evaluate the efficacy and safety of low dose one week triple therapy with lansoprazole, amoxycillin and clarithromycin for the eradication of Helicobacter pylori (H. pylori).

METHOD

A total of 103 patients with H. pylori infection who had gastritis, duodenal ulcer (DU) or gastric ulcer (GU) received 1 week's triple therapy of lansoprazole 30 g once daily (OD), amoxycillin 250 mg qid and clarithromycin 250 mg tid. The status of H. pylori infection was determined using the CLO test and histology (gram stain) of biopsy specimens during endoscopic examination.

RESULT

After treatment with triple therapy H. pylori infection was eradicated in 98 of 103 patients (95.15%), dyspeptic symptoms and upper gastrointestinal hemorrhage improved in 99 of 103 patients (96.1%). No adverse effect was observed in all the patients was received treatment.

CONCLUSION

Low dose one-week triple therapy with lansoprazole, amoxycillin and clarithromycin is effective for eradication of H. pylori infection.

摘要

目的

评估低剂量兰索拉唑、阿莫西林和克拉霉素一周三联疗法根除幽门螺杆菌(H. pylori)的疗效和安全性。

方法

103例患有胃炎、十二指肠溃疡(DU)或胃溃疡(GU)的幽门螺杆菌感染患者接受了为期1周的三联疗法,即兰索拉唑30 g每日一次(OD)、阿莫西林250 mg每日四次(qid)和克拉霉素250 mg每日三次(tid)。在内镜检查期间,使用活检标本的CLO试验和组织学(革兰氏染色)来确定幽门螺杆菌感染状况。

结果

三联疗法治疗后,103例患者中有98例(95.15%)幽门螺杆菌感染被根除,103例患者中有99例(96.1%)消化不良症状和上消化道出血得到改善。所有接受治疗的患者均未观察到不良反应。

结论

低剂量兰索拉唑、阿莫西林和克拉霉素一周三联疗法对根除幽门螺杆菌感染有效。

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