[1]邵糖根.阿莫西林联合奥美拉唑治疗胃炎合并胃溃疡的临床效果[J].医学信息,2025,38(13):135-137,141.[doi:10.3969/j.issn.1006-1959.2025.13.026]
 SHAO Tanggen.Clinical Effect of Amoxicillin Combined with Omeprazole in the Treatment of Gastritis Complicated with Gastric Ulcer[J].Journal of Medical Information,2025,38(13):135-137,141.[doi:10.3969/j.issn.1006-1959.2025.13.026]
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阿莫西林联合奥美拉唑治疗胃炎合并胃溃疡的临床效果()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年13期
页码:
135-137,141
栏目:
论著
出版日期:
2025-07-01

文章信息/Info

Title:
Clinical Effect of Amoxicillin Combined with Omeprazole in the Treatment of Gastritis Complicated with Gastric Ulcer
文章编号:
1006-1959(2025)13-0135-04
作者:
邵糖根
乐平市中医医院中风科,江西 乐平 333300
Author(s):
SHAO Tanggen
Department of Stroke, Leping Hospital of Traditional Chinese Medicine, Leping 333300, Jiangxi, China
关键词:
阿莫西林奥美拉唑胃炎胃溃疡
Keywords:
Amoxicillin Omeprazole Gastritis Gastric ulcer
分类号:
R573
DOI:
10.3969/j.issn.1006-1959.2025.13.026
文献标志码:
A
摘要:
目的 研究阿莫西林联合奥美拉唑治疗胃炎合并胃溃疡的临床效果。方法 采用随机数字表法将2022年1月-2024年4月我院诊治的60例胃炎合并胃溃疡患者分为对照组和观察组,各组30例。对照组采用奥美拉唑治疗,观察组在对照组基础上给予阿莫西林治疗,比较两组治疗总有效率、临床症状消失时间、胃肠激素水平、炎性因子水平、不良反应发生率。结果 与对照组治疗总有效率的80.00%相比,观察组治疗总有效率更高,达93.33%(P<0.05);与对照组相比,观察组反酸、腹痛、胃灼热感、嗳气消失时间更短,胃泌素(GAS)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)更低,胃动素(MTL)更高(P<0.05);观察组不良反应发生率(6.67%)与对照组(10.00%)比较,差异无统计学意义(P>0.05)。结论 阿莫西林联合奥美拉唑治疗胃炎合并胃溃疡具有良好的效果,可缩短临床症状消失时间,改善胃肠激素水平,减轻炎症因子水平,且不会增加不良反应发生率,是一种有效、安全的联合治疗方案。
Abstract:
Objective To study the clinical effect of amoxicillin combined with omeprazole in the treatment of gastritis with gastric ulcer. Methods Sixty patients with gastritis and gastric ulcer diagnosed and treated in our hospital from January 2022 to April 2024 were divided into control group and observation group by random number table method, with 30 patients in each group. The control group was treated with omeprazole, and the observation group was treated with amoxicillin on the basis of the control group. The total effective rate, disappearance time of clinical symptoms, gastrointestinal hormone level, inflammatory factor level and incidence of adverse reactions were compared between the two groups. Results Compared with 80.00% of the total effective rate of the control group, the total effective rate of the observation group was higher, reaching 93.33% (P<0.05). Compared with the control group, the disappearance time of acid reflux, abdominal pain, heartburn and belching in the observation group was shorter, gastrin (GAS), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) were lower, and motilin (MTL) was higher after treatment (P<0.05). There was no significant difference in the incidence of adverse reactions between the observation group (6.67%) and the control group (10.00%) (P>0.05). Conclusion Amoxicillin combined with omeprazole has a good effect in the treatment of gastritis complicated with gastric ulcer, which can shorten the disappearance time of clinical symptoms, improve the level of gastrointestinal hormones, reduce the level of inflammatory factors, and will not increase the incidence of adverse reactions. It is an effective and safe combined treatment.

参考文献/References:

[1]王琼,吕颖.IL-35和IL-37在幽门螺杆菌相关性胃炎和胃溃疡患者中的表达及临床意义[J].国际消化病杂志,2023,43(6):376-380.[2]Liu WT,Li YF,Hsieh TY.Unusual severe gastritis and gastric ulcers caused by pembrolizumab[J].J Postgrad Med,2022,68(1):38-40.[3]吴佳玉,张正伟.艾司奥美拉唑、兰索拉唑与泮托拉唑治疗胃炎胃溃疡的效果分析[J].深圳中西医结合杂志,2023,33(20):114-116.[4]黄运梅.分析胃炎并胃溃疡患者采用奥美拉唑联合阿莫西林治疗的临床效果[J].中国社区医师,2021,37(24):71-72.[5]何小静,李英,杨晓蓉,等.内镜下止血联合不同剂量奥美拉唑治疗老年消化性溃疡出血的效果观察[J].现代消化及介入诊疗,2019,24(2):183-185.[6]刘宏伟,黄玉洁,杨剑英,等.含阿莫西林、呋喃唑酮四联疗法治疗幽门螺杆菌相关性胃溃疡的疗效及安全性分析[J].河北医药,2020,42(8):1169-1172.[7]沈曙光,周守凤,郭凯.抗生素联合奥美拉唑治疗消化性溃疡的临床疗效[J].西北国防医学杂志,2019,40(4):231-235.[8]费林立,何璐莎.奥美拉唑联合抗生素治疗对胃溃疡患者免疫功能及胃肠激素的影响[J].国际消化病杂志,2018,38(4):272-275.[9]高阳,张建广,邵佩,等.老年人幽门螺杆菌对抗菌药物的耐药性研究[J].国际老年医学杂志,2020,41(3):137-140.[10]刘国涛.黛力新联合埃索美拉唑、莫沙必利在慢性胃炎治疗中的疗效观察[D].济南:山东大学,2014.[11]丁玉文.康复新液联合四联疗法治疗胃络瘀阻型Hp相关性隆起糜烂性胃炎的临床研究[D].合肥:安徽中医药大学,2023.[12]刘宏伟,黄玉洁,杨剑英,等.铝碳酸镁、兰索拉唑、阿莫西林、呋喃唑酮四联疗法治疗幽门螺杆菌相关性胃溃疡的效果及安全性评价[J].中国综合临床,2020,36(1):22-27.[13]吴建华,陈晓敏.阿莫西林联合奥美拉唑治疗消化性溃疡合并上消化道出血的随机对照研究[J].药物评价研究,2019,42(5):960-962.[14]张桥东,曾燕文,张华东.兰索拉唑肠溶片、枸橼酸莫沙必利片、氟哌噻吨美利曲辛片联合治疗慢性胃炎合并反流性食管炎疗效观察[J].吉林医学,2019,40(4):807-809.[15]班洁虹,杨蔚峰,饶官华,等.熊去氧胆酸联合奥美拉唑及莫沙必利治疗胆汁反流性胃炎 53 例疗效观察[J].右江医学,2018,46(1):60-63.[16]李慧,余水岸.铝碳酸镁联合莫沙必利对胆汁反流性胃炎患者临床症状及生活质量的影响[J].慢性病学杂志,2018,19(10):1731-1732.[17]卜爱,杜姗.艾司奥美拉唑镁肠溶片治疗幽门螺杆菌相关性胃溃疡临床研究[J].陕西医学杂志,2019,48(10):1381-1383.[18]魏小娟.替普瑞酮对慢性萎缩性胃炎合并胃溃疡患者胃黏膜修复效果观察[J].齐齐哈尔医学院学报,2018,15(8):79-82.[19]钱小洲.中西医结合治疗慢性胃炎胃溃疡的效果以及安全性[J].深圳中西医结合杂志,2020,30(17):40-41.[20]关军丽.阿莫西林联合果胶铋治疗慢性萎缩性胃炎临床疗效观察[J].中国药物与临床,2018,18(2):262-264.

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更新日期/Last Update: 1900-01-01