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灭幽灵治疗消化性溃疡伴幽门螺旋菌阳性40例 被引量:20
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作者 戴建林 《中国中西医结合杂志》 CAS CSCD 北大核心 1993年第9期551-552,共2页
目前国内外医学界经大量的实验与临床研究,已经证明幽门螺旋菌(HP)与慢性胃炎和消化性溃疡的发病密切相关。治疗方法主要以铋剂或抗生素治疗。需长程和联合治疗,且毒副作用较大。我院自1990~1992年用自制的灭幽灵散剂治疗消化性溃疡伴... 目前国内外医学界经大量的实验与临床研究,已经证明幽门螺旋菌(HP)与慢性胃炎和消化性溃疡的发病密切相关。治疗方法主要以铋剂或抗生素治疗。需长程和联合治疗,且毒副作用较大。我院自1990~1992年用自制的灭幽灵散剂治疗消化性溃疡伴幽门螺旋菌阳性患者40例,并与得乐冲剂对照,现总结报告如下。临床资料一、病例选择标准用药前10天经纤维胃镜检查确诊为胃溃疡或十二指肠球部溃疡,且幽门螺旋菌阳性者。除外条件:有下列一项者,虽HP阳性。 展开更多
关键词 灭幽灵 消化性溃疡 幽门螺杆菌
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灭幽灵治疗消化性溃疡伴幽门螺旋杆菌阳性(郁热证)80例临床疗效观察 被引量:4
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作者 戴建林 钟青英 +3 位作者 叶祚泉 左天伦 曹冬元 陈国林 《中国中西医结合脾胃杂志》 1995年第2期79-83,共5页
灭幽灵散剂治疗消化性溃疡活动期伴幽门螺杆菌阳性、辨证为郁热证80例(治疗组).并与用得乐冲剂治疗的28例作对照(对照组),6周为1疗程。结果:中医证候疗效比较,治疗组治愈+显效率85.0%,总有效率93.8%;对照组... 灭幽灵散剂治疗消化性溃疡活动期伴幽门螺杆菌阳性、辨证为郁热证80例(治疗组).并与用得乐冲剂治疗的28例作对照(对照组),6周为1疗程。结果:中医证候疗效比较,治疗组治愈+显效率85.0%,总有效率93.8%;对照组治愈+显效率66.9%,总有效率82.1%。溃疡疗效比较:治疗组治愈+显效率80.0%,总有效率87.5%;对照组治愈+显效率60.7%,总有效率75.0%。两组比较有显著性差异(P<0.05)。幽门螺旋杆菌疗效比较:治疗组清除率71.2%,对照组67.9%,两组比较无显著性差异(P>0.05)。说明灭幽灵散剂对改善症状、愈合溃疡疗效明显优于得乐冲剂。远期疗效;治疗组溃疡复发率21.0%,对照组为23.0%。幽门螺杆菌两项检查复发率两组分别为28.5%、30.8%,相比较无显著性差异(P>0.05)。此结果说明溃疡复发与幽门螺杆菌密切相关。 展开更多
关键词 灭幽灵散剂 消化性溃疡 幽门螺杆菌 中医药疗法
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Screening for metronidazole-resistance associated gene fragments of H pylori by suppression subtractive hybridization 被引量:3
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作者 Ai-Qing Li Ning Dai +1 位作者 Jie Yan Yong-Liang Zhu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第12期1847-1850,共4页
AIM: To screen for metronidazole (MTZ)-resistance associated gene fragments of H pylori by suppression subtractive hybridization (SSH). METHODS: Five MTZ-resistant (tester, T) and 1 MTZ- susceptible (driver, ... AIM: To screen for metronidazole (MTZ)-resistance associated gene fragments of H pylori by suppression subtractive hybridization (SSH). METHODS: Five MTZ-resistant (tester, T) and 1 MTZ- susceptible (driver, D) clinical H pylori isolates were selected. Genomic DNAs were prepared and submitted to Rsa I digestion. Then two different adaptors were ligated respectively to the 5'-end of two aliquots of the tester DNA fragments and SSH was made between the tester and driver DNAs. The specific inserts of tester strains were screened and MTZ-resistance related gene fragments were identified by dot blotting. RESULTS: Among the randomly selected 120 subtractive colonies, 37 DNA fragments had a different number of DNA copies (≥ 2 times) in resistant and susceptible strains and 17 of them had a significantly different number of DNA copies (≥ 3 times). Among the sequences obtained from the 17 DNA fragments, new sequences were found in 10 DNA fragments and duplicated sequences in 7 DNA fragments, representing respectively the sequences of depeptide ABC transporter periplasmic dipeptide-binding protein (dppA), permease protein (dppB), ribosomal protein S4 (rps4), ribonuclease Ⅲ (rnc), protease (pqqE), diaminopimelate epimerase (dapF), acetatekinase (ackA), H pylori plasmid pHP51 and Hpylori gene 1334. CONCLUSION: Gene fragments specific to MTZ-resistant H pylori strains can be screened by SSH and may be associated with MTZ-resistant Hpylori. 展开更多
关键词 H pylori METRONIDAZOLE Drug resistance GENE Suppression subtractive hybridization
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