Kinoshita Y, Hashimoto T, Kawamura A, Yuki M, Amano K, Sato H, Adachi K, Sato S, Oshima N, Takashima T, Kitajima N, Abe K, Suetsugu H
Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo-shi, Shimane, Japan.
Aliment Pharmacol Ther. 2005 Jun;21 Suppl 2:37-41. doi: 10.1111/j.1365-2036.2005.02472.x.
An effective therapeutic strategy for functional dyspepsia (FD) has not been well-established.
We investigated and compared the therapeutic effects of famotidine, mosapride and tandospirone for the control of dyspeptic symptoms.
Fully examined FD patients of outpatient clinics at seven different medical centres were enrolled in the study. They were randomly assigned to three groups based on the type of drug administered: famotidine, mosapride and tandospirone. The effects of treatment over 4 weeks were assessed by visual analogue scales.
All of the drugs showed beneficial effects, although famotidine was the most effective for symptom relief, which was significantly greater than tandospirone, while the effect of mosapride was similar to that of famotidine. No subtype of FD showed a better response to a particular type of drug.
For the treatment of FD, famotidine demonstrated the best therapeutic effect, followed by mosapride, while that of tandospirone was significantly lower.
功能性消化不良(FD)的有效治疗策略尚未完全确立。
我们研究并比较了法莫替丁、莫沙必利和坦度螺酮对消化不良症状的控制效果。
来自七个不同医疗中心门诊的经全面检查的FD患者被纳入研究。根据给药类型,他们被随机分为三组:法莫替丁组、莫沙必利组和坦度螺酮组。通过视觉模拟量表评估4周治疗的效果。
所有药物均显示出有益效果,尽管法莫替丁对症状缓解最有效,显著优于坦度螺酮,而莫沙必利的效果与法莫替丁相似。FD的任何亚型对特定类型药物均未表现出更好的反应。
对于FD的治疗,法莫替丁显示出最佳治疗效果,其次是莫沙必利,而坦度螺酮的效果明显较低。