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1、影响幽门螺杆菌阳性消化性溃疡患者病原根除效果的相关因素分析[摘要]目的探讨影响幽门螺杆菌(Hp)阳性消化性溃疡患者病原菌根除效果的相关因素,为临床干预提供依据。方法192例Hp阳性消化性溃疡患者接受Hp根除治疗,根据治疗效果将上述患者分为观察组与对照组,前者Hp根除成功,后者Hp根除失败。先采用卡方检验进行单因素分析,然后再采用非条件Logistic回归检验作多因素分析。结果①单因素分析结果显示两组患者年龄、吸烟习惯史、治疗依从性、阿莫西林耐药、克林霉素耐药、CYP2C19基因多态性相比,差异有统计学意义(P在上述因素中,阿莫西林耐药、克林霉素耐药、CYP2C19
2、基因多态性是难以干预的,而吸烟习惯史、治疗依从性完全可以控制,因此在Hp阳性消化性溃疡患者的治疗过程中,我们一定要求患者戒烟、按时按量服药,从而使治疗效果得到最大化的提高。[参考文献][1]ZulloA,CristofariF,HassanCH.Pylorishouldbeeradicatedinchronicliverdiseasepatientswithpepticulcer[J].DigLiverDis,2009,41(2):141-142.[2]FariaN,KasamatsuE,SamudioM,etal.Antimicrobialsusceptibil
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