Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function

Objective To explore the effect of quadruple regimen with Lansoprazole in elderly patients with chronic atrophic gastritis and its influence on gastric function. Methods A total of 82 elderly patients with Helicobacter pylori(Hp)-positive chronic atrophic gastritis were enrolled as the research obje...

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Main Authors: Zhang Wanglai, Shao Huang, Tao Yunsheng, Li Meng, Zhou Zelin, Wu Funing
Format: Article
Language:zho
Published: Editorial Office of International Journal of Geriatrics 2024-11-01
Series:Guoji laonian yixue zazhi
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Online Access:http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.013&lang=en
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author Zhang Wanglai
Shao Huang
Tao Yunsheng
Li Meng
Zhou Zelin
Wu Funing
author_facet Zhang Wanglai
Shao Huang
Tao Yunsheng
Li Meng
Zhou Zelin
Wu Funing
author_sort Zhang Wanglai
collection DOAJ
description Objective To explore the effect of quadruple regimen with Lansoprazole in elderly patients with chronic atrophic gastritis and its influence on gastric function. Methods A total of 82 elderly patients with Helicobacter pylori(Hp)-positive chronic atrophic gastritis were enrolled as the research objects between January 2021 and December 2023. They were randomly divided into an observation group and a control group according to random number table, 54 cases in each group. The control group was treated with routine quadruple therapy (Omeprazole+Amoxicillin+Clarithromycin+Colloidal Bismuth Pectin), while the observation group was treated with quadruple regimen containing Lansoprazole (Lansoprazole + Amoxicillin + Clarithromycin + Colloidal Bismuth Pectin). The clinical curative effect, Hp eradication rate, gastric function indexes [pepsinogen(PG-) Ⅰ, PG-Ⅱ, and gastrin(G)-17], gastric mucosal recovery indexes [epidermal growth factor (EGF), nitric oxide (NO)], inflammatory indexes [interleukin(IL)-6, IL-12, tumor necrosis factor(TNF)-α] and adverse reactions were compared between the two groups. Results The total effective rate and Hp eradication rate in the observation group were higher than those in the control group (P<0.05). After treatment, levels of peripheral blood PG-Ⅰ, PG-Ⅱ, G-17, EGF and NO in observation group were higher than those in control group (P<0.05), and levels of IL-6, IL-12 and TNF-α were lower than those in control group (P<0.05). There was no significant difference in total incidence on adverse reactions between the two groups (P>0.05). Conclusion The curative effect of quadruple regimen with Lansoprazole is significant in elderly patients with Hp-positive chronic atrophic gastritis, which can effectively accelerate the recovery of gastric mucosa, improve gastric function and reduce inflammatory response.
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spelling doaj-art-a25ada53b73b423d9729d099eae92bca2024-11-21T07:13:31ZzhoEditorial Office of International Journal of GeriatricsGuoji laonian yixue zazhi1674-75932024-11-0145671271610.3969/j.issn.1674-7593.2024.06.013Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric FunctionZhang Wanglai0Shao Huang1Tao Yunsheng2Li Meng3Zhou Zelin4Wu Funing5Department of Hepatology, Spleen and Stomach Disease, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Department of Ultrasound Room, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Department of Hepatology, Spleen and Stomach Disease, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Department of Hepatology, Spleen and Stomach Disease, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Department of Hepatology, Spleen and Stomach Disease, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Department of Hepatology, Spleen and Stomach Disease, Tongling Traditional Chinese Medicine Hospital, Tongling 244000Objective To explore the effect of quadruple regimen with Lansoprazole in elderly patients with chronic atrophic gastritis and its influence on gastric function. Methods A total of 82 elderly patients with Helicobacter pylori(Hp)-positive chronic atrophic gastritis were enrolled as the research objects between January 2021 and December 2023. They were randomly divided into an observation group and a control group according to random number table, 54 cases in each group. The control group was treated with routine quadruple therapy (Omeprazole+Amoxicillin+Clarithromycin+Colloidal Bismuth Pectin), while the observation group was treated with quadruple regimen containing Lansoprazole (Lansoprazole + Amoxicillin + Clarithromycin + Colloidal Bismuth Pectin). The clinical curative effect, Hp eradication rate, gastric function indexes [pepsinogen(PG-) Ⅰ, PG-Ⅱ, and gastrin(G)-17], gastric mucosal recovery indexes [epidermal growth factor (EGF), nitric oxide (NO)], inflammatory indexes [interleukin(IL)-6, IL-12, tumor necrosis factor(TNF)-α] and adverse reactions were compared between the two groups. Results The total effective rate and Hp eradication rate in the observation group were higher than those in the control group (P<0.05). After treatment, levels of peripheral blood PG-Ⅰ, PG-Ⅱ, G-17, EGF and NO in observation group were higher than those in control group (P<0.05), and levels of IL-6, IL-12 and TNF-α were lower than those in control group (P<0.05). There was no significant difference in total incidence on adverse reactions between the two groups (P>0.05). Conclusion The curative effect of quadruple regimen with Lansoprazole is significant in elderly patients with Hp-positive chronic atrophic gastritis, which can effectively accelerate the recovery of gastric mucosa, improve gastric function and reduce inflammatory response.http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.013&lang=enchronic atrophic gastritislansoprazolehelicobacter pylori
spellingShingle Zhang Wanglai
Shao Huang
Tao Yunsheng
Li Meng
Zhou Zelin
Wu Funing
Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
Guoji laonian yixue zazhi
chronic atrophic gastritis
lansoprazole
helicobacter pylori
title Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
title_full Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
title_fullStr Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
title_full_unstemmed Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
title_short Effect of Quadruple Regimen with Lansoprazole on Elderly Patients with Chronic Atrophic Gastritis and Its Influence on Gastric Function
title_sort effect of quadruple regimen with lansoprazole on elderly patients with chronic atrophic gastritis and its influence on gastric function
topic chronic atrophic gastritis
lansoprazole
helicobacter pylori
url http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.013&lang=en
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