Talley N J, Lauritsen K
Department of Medicine, University of Sydney, Nepean Hospital, Penrith 2751, Australia.
Gut. 2002 May;50 Suppl 4(Suppl 4):iv36-41. doi: 10.1136/gut.50.suppl_4.iv36.
Dyspepsia is a common condition in the general population but data are lacking on the benefits of effective acid inhibition with proton pump inhibitors in functional dyspepsia. The results of the large, randomised, double blind clinical trials, BOND and OPERA, the Scandinavian PILOT study, and a follow up study, ENCORE, are reviewed. BOND, OPERA, and PILOT aimed to address the question of whether effective acid inhibition with the proton pump inhibitor omeprazole relieves symptoms in patients with functional dyspepsia. ENCORE followed on from this, addressing the consequences of relieving symptoms in patients with functional dyspepsia once they are off therapy.
消化不良在普通人群中是一种常见病症,但关于质子泵抑制剂有效抑制胃酸对功能性消化不良的益处的数据尚缺。本文回顾了大型随机双盲临床试验BOND和OPERA、斯堪的纳维亚先导研究以及一项随访研究ENCORE的结果。BOND、OPERA和先导研究旨在解决质子泵抑制剂奥美拉唑有效抑制胃酸是否能缓解功能性消化不良患者症状这一问题。ENCORE在此基础上,探讨了功能性消化不良患者停止治疗后症状缓解的后果。