Therapeutic effect of probiotics combined with furazolidone quadruple therapy for eradication of Helicobacter pylori

LIU Jiping; XIN Ming; ZHANG Bin; ZHAO Hongyan; YANG Guangyu; SHAN Yuli; and ZHAO Rui

PDF(959 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2023, Vol. 34 ›› Issue (10) : 842-845.

ORIGINAL ARTICLES

Therapeutic effect of probiotics combined with furazolidone quadruple therapy for eradication of Helicobacter pylori

LIU Jiping¹,XIN Ming²,ZHANG Bin²,ZHAO Hongyan³,YANG Guangyu²,SHAN Yuli²,and ZHAO Rui³

Author information +

History +

Abstract

Objective To analyze the effect of probiotics combined with furazolidone quadruple therapy on eradication of Helicobacter pylori (Hp). Methods A total of 403 Hp-positive new recruits were selected from two batches from March to October 2022 and were divided into control group and observation group using a random number table. The control group received rabeprazole enteric-coated capsules at a dose of 20 mg, twice daily before breakfast and dinner, amoxicillin at a dose of 1000 mg, twice daily after breakfast and dinner, furazolidone at a dose of 0.1 g, twice daily after breakfast and dinner, and colloidal bismuth pectin capsules at a dose of 200 mg, twice daily before breakfast and dinner. The treatment duration was 14 days. The observation group received the same quadruple therapy plus probiotics (bifidobacterium quadruple active tablets) at a dose of 3 tablets, three times daily. After a 4-week drug withdrawal, the ¹³C breath test was conducted to evaluate the Hp eradication rate. Adverse reactions during treatment were monitored and summarized for statistical analysis. Results The Hp eradication rate in the control group was 88.06% (ITT analysis) and 87.13% (ITT analysis) in the observation group, with no statistically significant difference between the two groups (χ²=0.080,P=0.777). The PP analysis showed eradication rates of 88.06% in the control group and 87.56% in the observation group, with no statistically significant difference (χ²=0.023,P=0.879). The incidence of adverse reactions was 15.4% in the control group and 8.9% in the observation group, with a significant difference in the occurrence of adverse reactions (χ²=4.000,P=0.045). Conclusions Probiotics combined with furazolidone quadruple therapy can reduce the incidence of adverse reactions, but do not significantly improve the eradication rate.

Key words

helicobacter pylori / bifidobacterium quadruple active tablets / furazolidone / quadruple therapy / new recruits

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

LIU Jiping,XIN Ming,ZHANG Bin,ZHAO Hongyan,YANG Guangyu,SHAN Yuli,and ZHAO Rui. Therapeutic effect of probiotics combined with furazolidone quadruple therapy for eradication of Helicobacter pylori[J]. Medical Journal of the Chinese People Armed Police Forces. 2023, 34(10): 842-845

References

[1] 张万岱,胡伏莲,萧树东,等.中国自然人群幽门螺杆菌感染的流行病学[J].现代消化及介入治疗, 2010,15(5): 265-270.
[2] 刘文忠,谢勇,陆红,等. 第五次全国幽门螺杆菌感染处理共识报告[J].胃肠病学, 2017,22(6):346-360.
[3] Sugano K,Tack J,Kuipers E J,et al.Kyoto global consensus report on Helicobacter pylori gastritis[J].Gut, 2015,64(9):1353-1367.
[4] Malfertheiner P,Megraud F,O’Morain C A,et al.Management of helicobater pylori infection-the maastricht v/florence consensus report[J].Gut,2017,66(1):6-30.
[5] Chinese Society of Gastroenterology,Chinese Study Group on Helicobacter Pylori and Peptic Ulcer.Fifth Chinese national consensus report on the management of helicobacter pylori infection[J].Helicobacter,2018,23(2): e12475.
[6] 成虹,胡伏莲,谢勇,等.中国幽门螺杆菌耐药状况以及耐药对治疗的影响-全国多中心临床研究[J].胃肠病学,2007,12(9):525-530.
[7] Gao W,Cheng H,Hu F,et al.The evolution of helicobacter antibiotics resistance over 10 years in Beijing,China[J].Helicobacter,2010,15(5):460-466.
[8] Ermis F,Senocak T E.Current helicobacter pylori treatment in 2014[J].World J Methodol,2015,5(2):101-107.
[9] Hauser G,Salkic N,Vukelic K,et al.Probiotics for standard triple helicobacter pylori eradication:a randomized,double-blind,placebo-controlled trial[J].Medicine(Baltimore),2015,94(17): e685.
[10] Zhang Y,Zhou L,Song Z,et al.Primary antibiotic resistance of helicobacter pylori strains isolated from patients with dyspeptic symptoms in Beijing:a prospective serial study[J].World J Gastroenterol,2015,21(9): 2786-2792.
[11] Liu D,Wang Y,Zeng Z,et al.Primary antibiotic resistance of Helicobacter pylori in Chinese patients:a multiregion prospective 7-year study[J].Clin Microbiol Infect,2018,(24)7:e5-e8.
[12] Zhuge L,Wang Y, Wu S,et al.Furazolidone treatment for helicobacter pylori infection:a systematic review and metaanalysis[J].Helicobacter,2018,23(2): e12468.
[13] Emara M,Elhawari S,Yousef S,et al.Emerging role of probiotics in the management of helicobacter pylori infection:hisopathologic perspectives[J].Helicobacter,2016,21(1):3-10.
[14] Techo S,Visessanguan W,Vilaichone R K,et al. Characterization and antibacterial activity against helicobacter pylori of lactic acid bacteria isolated from Thai fermented rice noodle[J].Probiotics Antimicro,2019,11(1):92-102.
[15] Turroni F,Ventura M,Butto’ L,et al.Molecular dialogue between the human gut microbiota and the host:a lactobacillus and Bifidobacterium perspective[J]. Cell Mol Life Sci,2014,71(2):183-203.
[16] 刘慧敏,韩怡,陆习婷.益生菌联合抗幽门螺杆菌治疗老年胃溃疡病人的临床疗效及对胃功能和肠道菌群的影响[J].实用老年医学,2020,34(2):121-124.
[17] Shi X,Zhang J,Mo L,et al.Efficacy and safety of probiotics in eradicating Helicobacter pylori: a network meta- analysis[J]. Medicine(Baltimore),2019,98(15): e15180.
[18] 刘文忠,谢勇,陆红,等.第五次全国幽门螺杆菌感染处理共识报告[J].胃肠病学,2017,22(6):346-360.
[19] Jakobsson H,Jernberg C,Andersson A,et al.Short-term antibiotic treatment has differing long-term impacts on the human throat and gut microbiome[J].PLoS One,2010,5(3):e9836.
[20] 吴丽丽,彭丽华,杨云生,等.根除幽门螺杆菌疗法对肠道菌群影响的研究现状[J].中华内科杂志, 2013,52(12): 1075-1076.
[21] 宋岩,曹晓沧,杨永妍,等.益生菌修复幽门螺杆菌相关黏膜屏障破坏的机制[J].世界华人消化杂志,2013,21(28):2981-2986.
[22] 唐郡,朱斌,刘卫,等.驻皖某部官兵幽门螺杆菌感染流行病学调查[J].人民军医,2013,56(11):1284-1285.
[23] 俞剑伟,安贺娟,苏惠,等.内蒙古边防新兵幽门螺杆菌感染率及影响因素分析[J].解放军医学杂志,2014,39(9):760-763.
[24] 李晟,荆忱,傅涛,等.某部队医院2014-2017年内科住院军人疾病谱分析[J].武警医学, 2019,30(5):423-426.
[25] 易贤楚,刘朋炯,侯林虎.某医院1968名住院军人患者疾病构成分析[J].解放军医院管理杂志,2019,26(6):542-544,566.
[26] 耿虹,李明,漆宜华,等.驻滇某部官兵幽门螺杆菌感染及知晓情况调查[J].人民军医,2021,64(1): 38-40.
[27] 刘萍,宛红娥,邹蕴.某驻疆军队医院2016-2019年基层住院士兵消化系统疾病谱分析[J].西南国防医药, 2021,31( 2): 173-176.