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抗氧化药物“卡瑞纳特”对慢性萎缩性胃炎患者的研究

[Study of the antioxidant drug "Karinat" in patients with chronic atrophic gastritis].

作者信息

Berspalov V G, Shcherbakov A M, Kalinovskiĭ V P, Novik V I, Chepik O F, Aleksandrov V A, Sobenin I A, Orekhov A N

机构信息

N.N. Petrov Research Institute of Oncology, Ministry of Health of the RF, St. Petersburg.

出版信息

Vopr Onkol. 2004;50(1):81-5.

Abstract

A randomized double blind placebo-controlled trial of the drug karinat was carried out in patients with chronic multifocal atrophic gastritis. Karinat contains beta-carotene 2.5 mg, alpha-tocopherol 5 mg, ascorbic acid 30 mg and garlic powder 150 mg per tablet. Out of 66 patients, 34 received karinat, 32--placebo. Both karinat and placebo were administered for 6 months, one tablet twice a day. Karinat therapy improved digestion, the fibrogastroscopic pattern of mucosa, inhibited Helicobacter pylori infection, stimulated stomach activity, mitigated intestinal metaplasia and interfered with the epithelial proliferation of gastric mucosa. These therapeutic effects were more pronounced in the study group. On the whole, the effectiveness of the drug was significantly higher (29%). Karinat should be recommended for the management of chronic atrophic gastritis, a precursor of stomach cancer.

摘要

对患有慢性多灶性萎缩性胃炎的患者进行了一项关于卡里纳特药物的随机双盲安慰剂对照试验。卡里纳特每片含有2.5毫克β-胡萝卜素、5毫克α-生育酚、30毫克抗坏血酸和150毫克大蒜粉。66名患者中,34名接受卡里纳特治疗,32名接受安慰剂治疗。卡里纳特和安慰剂均服用6个月,每天两次,每次一片。卡里纳特疗法改善了消化功能、胃黏膜的纤维胃镜检查模式,抑制了幽门螺杆菌感染,刺激了胃部活动,减轻了肠化生,并干扰了胃黏膜上皮细胞的增殖。这些治疗效果在研究组中更为明显。总体而言,该药物的有效性显著更高(29%)。对于作为胃癌前驱病变的慢性萎缩性胃炎的治疗,应推荐使用卡里纳特。

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