Bytzer P
Odense Sygehus, medicinsk gastroenterologisk afdeling.
Ugeskr Laeger. 1991 Aug 5;153(32):2212-6.
The results of placebo-controlled clinical trials of the treatment of non-ulcer dyspepsia with antacids, H2-receptor blockers, pirenzepine, sucralfate and colloidal bismuth subcitrate are reviewed. The methodological difficulties involved in connection with clinical trials of treatment of a vaguely defined condition such as non-ulcer dyspepsia are discussed with particular attention to the criteria for inclusion, assessment of effect and selection bias. None of the pharmacological agents have proved convincingly better than a placebo but sub-groups of the condition probably exist where symptomatic effects may be anticipated.
本文综述了使用抗酸剂、H2受体阻滞剂、哌仑西平、硫糖铝和枸橼酸铋钾治疗非溃疡性消化不良的安慰剂对照临床试验结果。讨论了在对非溃疡性消化不良这种定义模糊的病症进行治疗性临床试验时所涉及的方法学难题,特别关注纳入标准、疗效评估和选择偏倚。尚无一种药物被证实明显优于安慰剂,但该病症可能存在亚组,在这些亚组中有望出现症状改善的效果。