PMID- 24521887 OWN - NLM STAT- MEDLINE DCOM- 20140915 LR - 20201209 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 93 IP - 44 DP - 2013 Nov 26 TI - [Jinghuaweikang gelatin pearls plus proton pump inhibitor-based triple regimen in the treatment of chronic atrophic gastritis with Helicobacter pylori infection: a multicenter, randomized, controlled clinical study]. PG - 3491-5 AB - OBJECTIVE: To observe the efficacy of Jinghuaweikang gelatin pearls plus proton pump inhibitor (PPI)-based triple regimen in the treatment of chronic atrophic gastritis (CAG) patients with Helicobacter pylori (H.pylori) infection. METHODS: For this multicenter, randomized, controlled clinical study, 90 patients of endoscopically confirmed CAG with positive H.pylori ((13)C or (14)C-urea breath test (UBT) or rapid urease test) were enrolled. There were 46 males and 44 females with an age range of (54 +/- 10) years. None of them had H.pylori eradication background. They were randomly divided into 2 groups, Group LACJ (n = 45) received lansoprazole 30 mg+amoxicillin 1000 mg+clarithromycin 500 mg + jinghuaweikang gelatin pearls 240 mg, twice daily, for 10 days (d1-10) plus another 14 days (d11-24) only with jinghuaweikang gelatin pearls 240 mg, twice daily. Group LACB (n = 45) had standard quadruple regimen treatment: lansoprazole 30 mg+amoxicillin 1000 mg+clarithromycin 500 mg+bismuth potassium citrate 220 mg, twice daily for 10 days (d1-10). The status of H.pylori was detected by (13)C-UBT at least 28 days after therapy. RESULTS: The eradication rates in Groups LACJ and LACB were as follows: per-protocol (PP): 70.5% (31/44) and 83.3% (35/42), intention-to-treat (ITT): 68.9% (31/45) and 77.8% (35/45) (both P > 0.05). The symptomatic improvements of bloating in upper abdomen, belching and epigastric pain after treatment in both groups. And those in Group LACJ was higher than those of Group LACB, but no statistical difference existed between two groups (all P > 0.05). CONCLUSIONS: The efficacy of LACJ for the treatment of CAG patients with H.pylori infection is similar to LACB. And the symptomatic improvement of patients is better than LACB. FAU - Wang, Ting-ting AU - Wang TT AD - Department of Integrated Traditional & Western Medicine, Beijing University First Hospital, Beijing 100034, China. FAU - Zhang, Yue-miao AU - Zhang YM FAU - Zhang, Xue-zhi AU - Zhang XZ AD - Email: zhang.xuezhi@263.net. FAU - Cheng, Hong AU - Cheng H FAU - Hu, Fu-lian AU - Hu FL FAU - Han, Hai-xiao AU - Han HX FAU - Chen, Xiao-wei AU - Chen XW FAU - Li, Jun-xiang AU - Li JX FAU - Lai, Yao-liang AU - Lai YL FAU - Liu, Yong AU - Liu Y LA - chi PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Proton Pump Inhibitors) RN - 0 (jinghua weikang) SB - IM MH - Adult MH - Aged MH - Drug Therapy, Combination MH - Drugs, Chinese Herbal/administration & dosage/*therapeutic use MH - Female MH - Gastritis, Atrophic/*drug therapy/microbiology MH - Helicobacter Infections/*drug therapy MH - Helicobacter pylori MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Proton Pump Inhibitors/administration & dosage/*therapeutic use EDAT- 2014/02/14 06:00 MHDA- 2014/09/16 06:00 CRDT- 2014/02/14 06:00 PHST- 2014/02/14 06:00 [entrez] PHST- 2014/02/14 06:00 [pubmed] PHST- 2014/09/16 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2013 Nov 26;93(44):3491-5.