Wang JZ, Jia CH. Marzulene-S combined with standard triple therapy for treatment of children with
Helicobacter pylori positive peptic ulcer: Efficacy and influence on serum pepsinogen and gastrointestinal hormones.
Shijie Huaren Xiaohua Zazhi 2018;
26:41-46. [DOI:
10.11569/wcjd.v26.i1.41]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM
To evaluate the efficacy of marzulene-S combined with standard triple therapy in the treatment of children with Helicobacter pylori (H. pylori) positive peptic ulcer (PU), and to observe the effect on serum pepsinogen (PG) and gastrointestinal hormones.
METHODS
A total of 144 children with H. pylori positive PU were randomly divided into either an observation group or a control group, with 72 cases in each group. Both groups were treated with standard triple therapy (omeprazole + clarithromycin + amoxicillin), and the observation group was additionally given marzulene-S. The clinical efficacy, eradication rate of H. pylori and adverse drug reaction rate were compared between the two groups. Serum levels of PG Ⅰ, PG Ⅱ, gastrin (GAS), and somatostatin (SS) were measured in all patients before and after treatment, and the results were compared with those of 30 healthy children who received physical examination at our hospital.
RESULTS
The total effective rate was significantly higher in the observation group than in the control group (97.22% vs 84.72%, P < 0.05). Compared with the healthy control group, serum levels of PG Ⅰ, PG Ⅱ, and SS were significantly higher, and that of SS was significantly lower in the two patient groups before treatment (P < 0.05). Serum levels of PG Ⅰ, PG Ⅱ, and SS significantly decreased, and that of SS significantly increased in the two patient groups after treatment compared with pretreatment levels (P < 0.05). Compared with the control group, serum levels of PG Ⅰ, PG Ⅱ, and SS were significantly lower, and that of SS was significantly higher in the observation group after treatment (P < 0.05). The incidence of adverse drug reactions was 4.17% in the observation group and 6.94% in the control group, which showed no statistical difference (P > 0.05).
CONCLUSION
Marzulene-S combined with standard triple therapy can regulate serum levels of PG and gastrointestinal hormones in children with H. pylori positive PU, improve the clinical curative effects, and has few adverse drug reactions.
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