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High antibiotic resistance rate: A difficult issue for Helicobacter pylori eradication treatment 被引量:20
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作者 Mei Zhang 《World Journal of Gastroenterology》 SCIE CAS 2015年第48期13432-13437,共6页
Helicobacter pylori(H. pylori) infection is associated with a variety of upper gastrointestinal diseases, including gastric cancer. With the wide application of antibiotics in H. pylori eradication treatment, drugresi... Helicobacter pylori(H. pylori) infection is associated with a variety of upper gastrointestinal diseases, including gastric cancer. With the wide application of antibiotics in H. pylori eradication treatment, drugresistant strains of H. pylori are increasing. H. pylori eradication treatment failure affects the outcome of a variety of diseases of the upper gastrointestinal tract. Therefore, antibiotic resistance that affects H. pylori eradication treatment is a challenging situation for clinicians. The ideal H. pylori eradication therapy should be safe, effective, simple, and economical. The eradication rate of triple antibiotic therapy is currently less than 80% in most parts of the world. Antibiotic resistance is the main reason for treatment failure, therefore the standard triple regimen is no longer suitable as a first-line treatment in most regions. H. pylori eradication treatment may fail for a number of reasons, including H. pylori strain factors, host factors, environmental factors, and inappropriate treatment. 展开更多
关键词 HELICOBACTER PYLORI Resistance Eradicationtreatment triple antibiotic therapy Gastrointestinaldisease
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从三焦论治幽门螺杆菌感染的六维辨证观
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作者 柳红良 董斐 谷晓红 《环球中医药》 CAS 2024年第7期1249-1255,共7页
六维辨证观强调从病因、病位、病期、病势、病理、病性六个不同维度对病证进行辨析,有利于中医临床思维的锻炼和形成。基于六维辨证观,可以更全面地认知从三焦论治幽门螺杆菌(Helicobacter pylori,H.pylori)感染。辨病因,应综合考虑H.py... 六维辨证观强调从病因、病位、病期、病势、病理、病性六个不同维度对病证进行辨析,有利于中医临床思维的锻炼和形成。基于六维辨证观,可以更全面地认知从三焦论治幽门螺杆菌(Helicobacter pylori,H.pylori)感染。辨病因,应综合考虑H.pylori致病因素的外感兼内伤属性,要注重三焦疾病“总在一经不移为辨”的病理特点;辨病性,应关注H.pylori作为病原微生物的致病规律,不能简单归结为湿热致病,其“粘附致炎”的病理属性需结合三焦气化的“通透性网状效应”从而表现出不同的证型;辨病位,H.pylori留滞部位在中焦胃腑膜层,胃黏膜分布规则的集合小静脉是反映中焦气化“通透性网状效应”的重要标志;辨病理,H.pylori粘附致炎的病理产物以气滞、湿、热、虚、瘀多见,影响三焦气化功能而呈现气机阻滞、湿热中阻、虚瘀共存等不同的病理状态;辨病期,H.pylori感染造成三焦“通透性网状效应”变差,日久生变,毒瘀虚互结,从而衍变经典的Correa模式。临床应注重H.pylori的根治治疗与胃黏膜癌前状态和癌前病变的共同处理策略;辨病势,根据H.pylori感染的不同阶段,注重对比正邪态势、病理因素态势的不同,叶天士针对“邪留三焦”提出的“分消上下之势”是很重要的治疗原则。 展开更多
关键词 三焦理论 “通透性网状效应” 幽门螺杆菌感染 六维辨证观 抗生素替代疗法 分消上下法 方证规律
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