EVALUATION OF EFFECTIVENESS OF COMPREHENSIVE TREATMENT OF DUODENAL ULCER IN CHILDREN

T. Sorokman, N.Ya. Cherney
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Abstract

In the structure of pathology of the digestive organs 1.7–16% constitute peptic ulcerdisease, which in 90% of cases is associated with H.pylori infection.The aim is to evaluate the effectiveness of comprehensive treatment of duodenal ulcer inchildren.Material and methods: The study included 60 children at the age of 10 -18 years withHelicobacter pylori-associated duodenal ulcer (DU), who were divided into three groupsof 20 people depending on the treatment regimen (protocol, including the donor of nitrogen monoxide and capillary stabilizing preparation).Results. Complex therapy of the disease in children provides faster positive dynamics ofclinical and endoscopic symptoms, increases the frequency of eradication of Helicobacterpylori, the relative risk of recurrence will decrease by 0.57 times when included in thetreatment regimen of nitrogen oxide donor and 0.66 times when used along with theprotocol scheme of the donor nitrogen oxide and capillarotropic drug.Conclusion. Comprehensive treatment of DU provides more stable results of treatmentand decreases the disease recurrences both in the early and late stages of observation.
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儿童十二指肠溃疡综合治疗效果评价
在消化器官病理结构中,1.7-16%为消化性溃疡,90%的病例与幽门螺杆菌感染有关。目的是评价综合治疗儿童十二指肠溃疡的效果。材料与方法:研究对象为60名年龄在10 ~ 18岁的幽门螺杆菌相关性十二指肠溃疡(DU)患儿,根据治疗方案(方案,包括供体一氧化氮和毛细血管稳定制剂)分为3组,每组20人。小儿本病综合治疗使临床和内镜下症状的积极动态更快,幽门螺杆菌根除的频率增加,合并氮氧化物供体治疗方案复发的相对风险降低0.57倍,合并氮氧化物供体和促毛细血管药物治疗方案复发的相对风险降低0.66倍。综合治疗DU在观察的早期和晚期,治疗效果更稳定,降低疾病复发率。
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