一项关于消化性溃疡疾病中幽门螺杆菌根除药物方案疗效的前瞻性观察研究

Abdullah, Mounika Pamukuntla
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摘要

研究目的:我们旨在研究被认为是一种标准方案的三联药物治疗的疗效。目的:观察药师在预防幽门螺杆菌感染复发中的作用。评估药物治疗方案是否能根除幽门螺杆菌感染。结果:6个月共观察358例。其中快速脲酶试验阳性142例,快速脲酶试验阴性216例。在纳入分析的142例患者中,与女性相比,消化性溃疡疾病在男性中更常见,并且在51-60岁年龄组中普遍存在。体质指数分析显示,35.2%的患者肥胖。从患者的个人病史来看,吸烟者占32.3%,酗酒者占31.6%。用药史分析显示患者常用非甾体类抗炎药。内镜诊断报告显示患者先是糜烂性泛胃炎,然后是糜烂性胃炎。结论:14天三联疗法可彻底根除幽门螺杆菌感染。考虑到各种人口统计细节年龄,性别,体重指数,吸烟者,酗酒者,辛辣食物摄入和滥用药物会增加症状,而合并症,睡眠模式和食物间隔对症状影响不大。结构化的患者咨询和随访具有显著的效果,表现为零复发,100%的药物依从性和改善的生活质量。
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A PROSPECTIVE, OBSERVATIONAL STUDY ON THE EFFICACY OF DRUG REGIMEN USED FOR HELICOBACTER PYLORI ERADICATION IN PEPTIC ULCER DISEASE
Aim of the study: We aimed to study the efficacy of triple drug therapy which is considered as a standard regimen. Objective of the study: To observe the role of pharmacist in preventing the recurrence of H. pylori infection. To assess whether the drug regimen prescribed eradicates the H. pylori infection. Results: In a period of 6 months a total of 358 cases were observed. Among them 142 cases are rapid urease test +ve and 216 are rapid urease test – ve cases. Of 142 patients included in the analysis, Peptic ulcer disease was more common in men when compared to women and prevalent in age group of 51-60 years. The body mass index analysis showed that 35.2% of patients were obese. From the personal history of the patients, it was concluded that 32.3% were smokers whereas 31.6% were alcoholic. The medication history analysis showed non-steroidal anti-inflammatory drugs were commonly used by the patients. The diagnostic endoscopic reports show that patients suffer from erosive pan gastritis followed by erosive gastritis. Conclusion: A 14-day triple therapy was found to be completely eradicate H. pylori infection. Out of the various demographic details that were taken into consideration age, gender, BMI, smokers, alcoholics, spicy food intake and drug abuse increased symptoms whereas co-morbid illness, sleeping pattern and food interval didn’t affect much. Structured patient counselling and follow up had a significant effect which was seen in the form of zero recurrence, 100% medication adherence and improved quality of life.
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