ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-025 综述 2026, (01)

联用奥美拉唑与阿莫西林治疗胃炎合并胃溃疡的最新进展

北京积水潭医院贵州医院

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摘要

摘要:胃炎合并胃溃疡是消化系统常见疾病,幽门螺杆菌(Hp)感染是其主要致病因素。近年来,奥美拉唑联合阿莫西林的治疗方案因显著的协同效应备受关注。本文综述了奥美拉唑(质子泵抑制剂)与阿莫西林(β- 内酰胺类抗生素)的药理特性、联合治疗优势及临床研究进展。多项随机对照试验表明,联合治疗可显著提高 Hp 根除率、缩短症状控制时间,并降低复发风险。尽管耐药性和长期用药安全性仍是挑战,但现有证据支持该方案作为 Hp 相关胃炎合并胃溃疡的一线治疗选择。未来需进一步优化用药策略,探索个体化治疗方案。

Abstract

Abstract: Gastritis and gastric ulcer are common digestive system diseases, with helicobacter pylori (Hp) infection being the primary pathogenic factor. In recent years, the combined regimen of omeprazole and amoxicillin has garnered significant attention due to its notable synergistic effects. This article reviews the pharmacological properties of omeprazole (a proton pump inhibitor) and amoxicillin (a β-lactam antibiotic), the advantages of combination therapy, and recent clinical research progress. Multiple randomized controlled trials have demonstrated that combination therapy significantly improves Hp eradication rates, shortens symptom control duration, and reduces relapse risk. Although challenges such as drug resistance and long-term medication safety persist, current evidence supports this regimen as a first-line treatment option for Hp-associated gastritis and gastric ulcer. Future efforts should focus on optimizing medication strategies and exploring personalized treatment approaches.

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[1]简江.联用奥美拉唑与阿莫西林治疗胃炎合并胃溃疡的最新进展[J],2026,01(01):.