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目的:观察三联疗法根除幽门螺杆菌(HP),预防溃疡复发与再出血的远期疗效。方法:选择有HP感染的出血性十二指肠溃疡患者58 例,随机分为两组。治疗组36 例,用丽珠得乐冲剂、呋喃唑酮片剂、泰胃美片治疗2周;对照组22例,单用泰胃美片治疗2周。疗程结束后,两组患者均再用泰胃美治疗2 周,总疗程结束后4 周及每半年复查胃镜和HP,定期随访2 年。结果:治疗组和对照组溃疡愈合率分别为100% 和81.8% ,HP根除率分别为80.5% 和9.1% 。随访2 年后,治疗组溃疡复发率为13.9% ,再出血率为5.5% ,对照组溃疡复发率为90.9% ,再出血率为45.4% ,两组溃疡复发率与再出血率比较有显著性差异( P< 0.05)。结论:三联疗法具有较好的根除HP、明显减少溃疡复发和再出血发生的作用,具有较好的远期疗效
Objective: To observe the long-term curative effect of triple therapy in eradicating Helicobacter pylori (HP) and preventing ulcer recurrence and rebleeding. Methods: 58 patients with hemorrhagic duodenal ulcer with HP infection were randomly divided into two groups. Treatment group of 36 cases, with Livzon Delek granules, furazolidone tablets, Tai Weimei tablets for 2 weeks; control group of 22 patients, only Tai Weimei tablets for 2 weeks. After the end of treatment, two groups of patients were re-treated with TST for 2 weeks, 4 weeks after the end of the total regimen, and gastroscope and HP were reviewed every 6 months. Regular follow-up was 2 years. Results: The healing rates of ulcer in treatment group and control group were 100% and 81.8%, respectively. The HP eradication rates were 80.5% and 9.1% respectively. After 2 years of follow-up, the recurrence rate of ulcer in treatment group was 13.9%, the rate of rebleeding was 5.5%, the rate of ulcer recurrence in control group was 90.9% and the rate of rebleeding was 45.4% There was a significant difference with the rate of rebleeding (P <0.05). Conclusion: triple therapy has a good eradication of HP, significantly reduce the recurrence of ulcer and the role of rebleeding, has a good long-term efficacy