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Efficacy of one-day quadruple therapy for H pylori infection in Chinese patients.

机译:一日四联疗法对中国患者幽门螺杆菌感染的疗效。

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AIM: To compare the efficacies of one-day quadruple therapy and seven-day triple therapy in Chinese patients. METHODS: Sixty consecutive patients with nonulcer dyspepsia and confirmed H pylori infection were randomized to receive either omeprazole 40 mg, amoxycillin 1 g, and furazolidone 100 mg, all twice a day for 7 d or omeprazole 20 mg (at breakfast and dinner), amoxicillin 1 g, furazolidone 200 mg, and colloidal bismuth subcitrate 220 mg four times for only one day. H pylori status was determined before and at least 5 weeks after therapy by endoscopy with antral and corpus biopsies for rapid urease test and histology. RESULTS: H pylori eradication was successful in 66.67% (20/30) patients in the 7-d group and in 36.67% (11/30) patients in the 1-d group (P = 0.037). Side effects were induced by the treatment in 13.3% (4/30) patients of each group, but these were all self-limiting, short-lasting, and did not require any specific treatment. CONCLUSION: The one-day quadruple therapy is less effective than the one-week regimen in curing H pylori infection in Chinese patients.
机译:目的:比较一天四联疗法和七天三联疗法在中国患者中的疗效。方法:连续60例非溃疡性消化不良并确诊为H幽门螺杆菌感染的患者,随机接受奥美拉唑40 mg,阿莫西林1 g和呋喃唑酮100 mg,每天两次,共7 d,或奥美拉唑20 mg(早餐和晚餐),阿莫西林1克,呋喃唑酮200毫克和次柠檬酸铋胶体220毫克,仅一天四次。幽门螺杆菌的状态是在治疗前和治疗后至少5周通过胃镜和肛门活检进行尿素酶快速检测和组织学检查。结果:在7天组中成功根除幽门螺杆菌的患者为66.67%(20/30),在1天组中成功率为36.67%(11/30)患者(P = 0.037)。每组的13.3%(4/30)患者通过治疗诱发了副作用,但是这些都是自限性的,持续时间短的,不需要任何特殊的治疗。结论:在中国患者中,一日四联疗法在治疗幽门螺杆菌感染方面不如一周方案有效。

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