本文应用胆胃康、果胶铋、阿莫西林、甲硝唑联合治疗胆汁返流性胃炎及Hp阳性者158例,效果显著,现报道如下。1材料和方法1.1病例选择选择于2001年6月～2003年6月就诊的门诊患者158例,年龄18～60岁,平均年龄39岁,其中男85例,女73例,并符合(1)临床症状、胃镜及相关实验室检查已确诊为胆汁返流性胃炎伴Hp阳性者。(2)无全身及胃肠道器质性疾病。(3)随访1年内无甾体类药、抑酸药、铋剂、Hp敏感抗生素(四环素、甲硝唑、阿莫西林、硝基咪唑类)等药物服用史。1.2Hp检测方法及标准1.2.1Hp检测方法(1)距幽门2.5-3.0cm胃窦处内镜下取病变黏膜进行尿素酶试验。(2)14C-尿素呼气试验(14C This application of gallbladder Kang, pectin bismuth, amoxicillin, metronidazole combined treatment of bile reflux gastritis and Hp-positive in 158 cases, the effect is significant, are reported below. 1 Materials and Methods 1.1 Case Selection 158 patients were selected from June 2001 to June 2003 outpatient, aged 18 to 60 years, mean age 39 years old, 85 males and 73 females, and in line with (1) Clinical symptoms, gastroscopy and related laboratory tests have been diagnosed as biliary reflux gastritis with Hp positive. (2) No systemic and gastrointestinal organic diseases. (3) The history of taking drugs such as steroid drugs, antacids, bismuth and Hp sensitive antibiotics (tetracycline, metronidazole, amoxicillin, nitroimidazole) within one year of follow-up. 1.2Hp detection methods and standards 1.2.1Hp detection method (1) from the pylorus 2.5-3.0cm gastric endoscopic lesions taken mucosa urease test. (2) 14C-urea breath test (14C