This study compared a new regimen (group A: doxycycline, co-amoxiclav, omeprazole) and two routinely prescribed regimens (group B: amoxicillin, omeprazole, furazolidone, bismuth; group C: amoxicillin, clarithromycin, omeprazole) to find an acceptable first-line treatment option for Helicobacter pylori. The study population consisted of 189 patients who referred to our clinic to undergo endoscopy due to ulcer-like dyspepsia. The H. pylori eradication rate was 68% in group A, 56% in group B, and 70% in group C according to per-control analysis. There was no statistically significant difference in H. pylori eradication between groups A and B (P = 0.187), groups A and C (P = 0.857), and groups B and C (P = 0.15). In conclusion, although none of the three eradication regimens can be recommended as a first-line eradication treatment, the new regimen is at least as effective and probably better tolerated than the two routinely applied regimens.

译文

:本研究比较了新方案(A组:多西环素,阿莫西拉夫,奥美拉唑)和两个常规处方方案(B组:阿莫西林,奥美拉唑,呋喃唑酮,铋; C组:阿莫西林,克拉霉素,奥美拉唑),首先找到了可接受的方案幽门螺杆菌的在线治疗选择。研究人群包括189名因溃疡样消化不良而转诊至我们的诊所接受内镜检查的患者。根据对照分析,A组的幽门螺杆菌根除率为68%,B组为56%,C组为70%。 A组和B组(P = 0.187),A组和C组(P = 0.857),B组和C组(P = 0.15)之间的幽门螺杆菌根除没有统计学差异。总之,尽管三种根除方案均不能推荐作为一线根除方案,但新方案至少与两种常规方案一样有效,并且耐受性更好。

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