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消化性溃疡病

Peptic Ulcer Disease.

作者信息

Kim Seung Han

机构信息

Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

出版信息

Korean J Helicobacter Up Gastrointest Res. 2025 Mar;25(1):13-16. doi: 10.7704/kjhugr.2024.0075. Epub 2025 Mar 7.

Abstract

Although the incidence and complications of peptic ulcer disease have declined, Helicobacter pylori infection and nonsteroidal anti-inflammatory drug use remain key risk factors. Advances in proton pump inhibitors and potassium-competitive acid blockers have improved treatment outcomes. However, increasing antibiotic resistance has reduced the efficacy of the standard therapies for H. pylori eradication, necessitating the development of new approaches such as novel antibiotic combinations and bismuth-based regimens. Future studies should emphasize tailored strategies to address resistance and the development of innovative anti-ulcer therapies to enhance eradication and prevention efforts.

摘要

尽管消化性溃疡疾病的发病率和并发症有所下降,但幽门螺杆菌感染和使用非甾体抗炎药仍然是关键的危险因素。质子泵抑制剂和钾竞争性酸阻滞剂的进展改善了治疗效果。然而,抗生素耐药性的增加降低了根除幽门螺杆菌标准疗法的疗效,因此需要开发新的方法,如新型抗生素组合和铋剂方案。未来的研究应强调针对耐药性的定制策略以及开发创新的抗溃疡疗法,以加强根除和预防工作。

相似文献

1
Peptic Ulcer Disease.消化性溃疡病
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2
Nonsteroidal Anti-Inflammatory Drug-Induced Peptic Ulcer Disease.非甾体抗炎药引起的消化性溃疡病
Korean J Helicobacter Up Gastrointest Res. 2025 Mar;25(1):34-41. doi: 10.7704/kjhugr.2025.0004. Epub 2025 Mar 7.
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Non-invasive diagnostic tests for Helicobacter pylori infection.幽门螺杆菌感染的非侵入性诊断测试。
Cochrane Database Syst Rev. 2018 Mar 15;3(3):CD012080. doi: 10.1002/14651858.CD012080.pub2.

本文引用的文献

2
Helicobacter pylori infection.幽门螺杆菌感染。
Nat Rev Dis Primers. 2023 Apr 20;9(1):19. doi: 10.1038/s41572-023-00431-8.
3
Advances in the pharmacotherapeutic management of refractory peptic ulcers.难治性消化性溃疡的药物治疗进展。
Expert Opin Pharmacother. 2023 May;24(7):825-833. doi: 10.1080/14656566.2023.2199922. Epub 2023 Apr 11.
7
Evidence-based clinical practice guidelines for peptic ulcer disease 2020.2020 年消化性溃疡病循证临床实践指南。
J Gastroenterol. 2021 Apr;56(4):303-322. doi: 10.1007/s00535-021-01769-0. Epub 2021 Feb 23.

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