Evaluation of the Efficacy Rate of Rebamipide Combined with Triple Therapy in the Treatment of Senile Peptic Gastric Ulcers

  • Rong Li Qilu Hospital of Shandong University, Jinan 250000, Shandong, China
Keywords: Rebamipide; Triple therapy; Elderly; Peptic gastric ulcer; Gastric mucosal morphology; Pepsinogen

Abstract

Abstract: Objective: To evaluate the efficacy rate of rebamipide combined with triple therapy in the treatment of senile peptic gastric ulcers. Methods: A cohort of 68 elderly patients diagnosed with peptic gastric ulcers was enrolled in this study between January 2022 and December 2024. Using the envelope method for randomization, the patients were divided into two equal groups: a control group administered standard triple therapy and an observation group that received the same triple therapy supplemented with rebamipide. The clinical efficacy, gastric mucosal morphology (mucosal thickness, gland density, active inflammatory cell infiltration, chronic inflammatory cell infiltration), and pepsinogen I/II were compared between the two groups. Results: The total effective rate in the observation group was significantly higher than that in the control group, with a statistically significant difference (p < 0.05). After treatment, the scores of all items in both groups were significantly lower than those before treatment, and the scores in the observation group were significantly lower than those in the control group, with statistically significant differences (p < 0.05). After treatment, the ratios in both groups were significantly higher than those before treatment, and the ratio in the observation group was significantly higher than that in the control group, with statistically significant differences (p < 0.05). Conclusion: Rebamipide combined with triple therapy can significantly improve the treatment efficacy of senile peptic gastric ulcers, effectively improve the histological status of the gastric mucosa, and promote the recovery of gastric mucosal function, with superior efficacy compared to triple therapy alone.

 

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Published
2025-12-08