中国合理用药探索2025,Vol.22Issue(3):94-98,5.DOI:10.3969/j.issn.2096-3327.2025.03.016
富马酸伏诺拉生片对难治性幽门螺杆菌感染合并慢性胃炎患者血清胃肠激素及炎症指标的影响
Effects of Vonoprazan Fumarate Tablet on Serum Gastrointestinal Hormones and Inflammatory Indices in Patients with Refractory Helicobacter Pylori Infection Complicated with Chronic Gastritis
摘要
Abstract
Objective:To investigate the effects of fumarate on serum gastrointestinal hormones and inflammatory indices in patients with refractory Helicobacter pylori(Hp)infection complicated with chronic gastritis.Methods:109 chronic gastritis patients who received treatment for refractory Hp infection in a certain hospital from December 2021 to December 2022,were randomly assigned to an observation group(55 patients)or the control group(54 patients)using allocation concealment.Patients in the control group received a quadruple regimen containing esomeprazole magnesium,while the patients in the observation group were treated with a quadruple regimen containing vonoprazan fumarate tablet.The clinical effects of both groups were compared,and the levels of gastrin(GAS),motilin(MTL),tumor necrosis factors(TNF-α),serum interleukin-6(IL-6),interleukin-8(IL-8),and adverse events were also measured.Results:After treatment,the levels of GAS and MTL increased in both patient groups,while the levels of TNF-α,IL-6,and IL-8 decreased on average.Notably,the changes observed in the observation group were significantly lower than those in the control group(P<0.05).The eradication rate in the observation group(81.82%)was significantly higher than that in the control group(64.81%),and the total effective rate of clinical treatment was also higher in the observation group(98.18%)compared to the control group(77.78%,P<0.05).Conclusion:Fumarate can effectively enhances the eradication rate of refractory Hp infection,improve the levels of GAS and MTL,and reduces inflammatory responses,and alleviates the clinical symptoms.关键词
富马酸伏诺拉生片/幽门螺杆菌/慢性胃炎/血清胃肠激素/炎症指标Key words
vonoprazan fumarate tablet/Helicobacter pylori/chronic gastritis/serum gastrointestinal hormones/inflammatory indices分类
医药卫生引用本文复制引用
韩莉,刘静..富马酸伏诺拉生片对难治性幽门螺杆菌感染合并慢性胃炎患者血清胃肠激素及炎症指标的影响[J].中国合理用药探索,2025,22(3):94-98,5.基金项目
河南省医学科技攻关计划项目(SBGJ202002025) (SBGJ202002025)