Résumé
Objective To discuss the effect of triple therapy plus traditional Chinese medicine in the treatment of peptic ulcer (PU) caused by Helicobacter pylori ( Hp) .Methods 148 cases with PU were randomly divided into study group and control group of 74 cases in each group.The control group were treated with triple therapy (omeprazole +clarithromycin +amoxicillin), and the study group were given liver-discharging and heat-clearing and invigorating spleen and removing blood stasis decoction, additionally.Both groups received treatment for one course of 4 weeks.The changes of clinical symptoms, negative conversion ratio of Hp and adverse reaction were compared.Results The scores of clinical symptoms were all significantly decreased in both two groups after treatment (P<0.05), but the study group changed more than control group (P<0.05).The total effective rate was 95.95%, rather higher than 79.73% in control group (P<0.05).The negative conversion ratio of Hp was 82.43%, obviously higher than 64.86% in control group (P<0.05).The incidence of adverse reaction was 12.16% in study group, similar to 9.46% in control group.Conclusion Triple therapy plus traditional Chinese medicine can significantly improve the clinical symptoms, clinical effect and negative conversion ratio of Hp, and has a good safety and tolerability.
Résumé
Objective To evaluate the cilincial value of Min-probe sonngraphy(MPS)for submucosal protrusion lesion in gastric.Methods 82 cases with submucosal protrusion lesion in gastric were detected by Min-probe sonography(MPS)and treated according to the diagnosis.Results 82 cases were fibroid,38 stromal tumor,among which 12 cases from muscularis mucosa,26 case from the proper muscle layer,4 malignant stromal tumor,6 lipoma,3 angioma,3 gastric cysts,11 gastric polypi,8 heterotopic pancreas,9 pressures from outside organ.29 cases were accepted EMR and 18 cases accepted surgical operation.Conclusion MPS is more valuable in the diagnosis and the differential diagnosis of submucosal protrusion lesion in gastric and can guide the further therapy.