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目的观察复方嗜酸乳杆菌对根除幽门螺杆菌疗效的影响,探讨提高幽门螺杆菌根除率的方法。方法将200例幽门螺杆菌感染合并慢性胃炎或消化性溃疡患者,随机分为观察组和对照组,每组100例。对照组采用三联疗法治疗(泮托拉唑+阿莫西林+克拉霉素);观察组采用上述三联疗法+复方嗜酸乳杆菌治疗。治疗结束后停药4周,采用13C尿素呼气试验,检测幽门螺杆菌的根除率。观察2组不良反应发生情况。结果观察组幽门螺杆菌根除率为93.0%,高于对照组的85.0%(P<0.05)。观察组不良反应发生率为3.0%,低于对照的9.0%(P<0.05)。结论复方嗜酸乳杆菌联合三联疗法能够有效提高幽门螺杆菌根除率,降低药物不良反应,值得推广应用。
Objective To observe the effect of compound Lactobacillus acidophilus on the eradication of Helicobacter pylori and to explore ways to improve the eradication rate of Helicobacter pylori. Methods 200 cases of Helicobacter pylori infection with chronic gastritis or peptic ulcer patients were randomly divided into observation group and control group, 100 cases in each group. The control group treated with triple therapy (pantoprazole + amoxicillin + clarithromycin); observation group using the triple therapy + compound acidobacter Lactobacillus treatment. After discontinuation of treatment for 4 weeks, 13C urea breath test was used to detect Helicobacter pylori eradication rate. Two groups of adverse reactions were observed. Results The eradication rate of Helicobacter pylori in the observation group was 93.0%, which was higher than that in the control group (85.0%, P <0.05). The incidence of adverse reactions in the observation group was 3.0%, which was lower than 9.0% of the control group (P <0.05). Conclusion Combination of Lactobacillus acidophilus and triple therapy can effectively improve the eradication rate of Helicobacter pylori and reduce the adverse drug reactions, which is worth popularizing and applying.