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法莫替丁预防非甾体抗炎药所致胃病的疗效:多中心研究ZASLON-1(保护胃黏膜免受非甾体抗炎药损伤)的结果

[Efficiency of famotidin in prophylaxis of NSAIDs-induced gastropathy: result of multicenter research ZASLON-1 (protection of gastric mucosa from non-steroidal anti-inflammatory drugs].

作者信息

Lazebnik L B, Drozdov V N, Kim V A

出版信息

Eksp Klin Gastroenterol. 2009(2):3-9.

PMID:19552017
Abstract

This article presents results of the first Russian randomized study of NSAID-gastropaty prevention at patients receiving NSAIDS. Results of clinical and endoscopic monitoring of two groups of patients: 1st - 108 patients with AA or RA treated with diclofenac and famotidin and 2nd--116 patients with AA or RA receiving diclofenac treatment only. It was shown that combined use of diclofenac and famotidin reduces to 2.6 times frequency and significantly reduces severity of painful dyspepsia symptoms and antipain manifestations reduces more than twice frequency of erosive-ulcerous lesions of gastric mucosa and duodenum.

摘要

本文介绍了俄罗斯首例针对接受非甾体抗炎药(NSAIDs)治疗患者的NSAIDs相关性胃病预防随机研究结果。对两组患者进行了临床和内镜监测:第一组为108例患有强直性脊柱炎(AA)或类风湿关节炎(RA)且接受双氯芬酸和法莫替丁治疗的患者,第二组为116例患有AA或RA且仅接受双氯芬酸治疗的患者。结果表明,双氯芬酸与法莫替丁联合使用可使疼痛性消化不良症状的发生频率降低2.6倍,并显著减轻其严重程度,抗疼痛表现使胃黏膜和十二指肠糜烂性溃疡病变的发生频率降低超过两倍。

相似文献

1
[Efficiency of famotidin in prophylaxis of NSAIDs-induced gastropathy: result of multicenter research ZASLON-1 (protection of gastric mucosa from non-steroidal anti-inflammatory drugs].法莫替丁预防非甾体抗炎药所致胃病的疗效:多中心研究ZASLON-1(保护胃黏膜免受非甾体抗炎药损伤)的结果
Eksp Klin Gastroenterol. 2009(2):3-9.
2
[Modern approach to the prevention and treatment of NSAID-gastropathy].
Eksp Klin Gastroenterol. 2011(2):106-10.
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Clinical and gastroscopic evaluation of amtolmetin guacyl versus diclofenac in patients with rheumatoid arthritis.安吡昔康与双氯芬酸治疗类风湿关节炎患者的临床及胃镜评估
Ital J Gastroenterol Hepatol. 1999 Jun-Jul;31(5):378-85.
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Prevention with sucralfate gel of NSAID-induced gastroduodenal damage in arthritic patients.硫糖铝凝胶预防关节炎患者非甾体抗炎药引起的胃十二指肠损伤。
Am J Gastroenterol. 1996 Nov;91(11):2367-71.
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Prevention of gastroduodenal damage with omeprazole in patients receiving continuous NSAIDs treatment. A double blind placebo controlled study.在接受连续非甾体抗炎药治疗的患者中使用奥美拉唑预防胃十二指肠损伤。一项双盲安慰剂对照研究。
Ital J Gastroenterol Hepatol. 1998 Feb;30(1):43-7.
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Non-steroidal anti-inflammatory drug gastropathy: clinical results with misoprostol.非甾体抗炎药所致胃病:米索前列醇的临床疗效
Ital J Gastroenterol Hepatol. 1999;31 Suppl 1:S54-62.
7
Prevalence of mucosal lesions in the stomach and duodenum due to chronic use of NSAID in patients with rheumatoid arthritis or osteoarthritis, and interim report on prevention by misoprostol of diclofenac associated lesions.类风湿关节炎或骨关节炎患者因长期使用非甾体抗炎药导致的胃和十二指肠黏膜病变的患病率,以及米索前列醇预防双氯芬酸相关病变的中期报告。
J Rheumatol Suppl. 1991 Mar;28:11-4.
8
Effect of gastric mucosal protection in nonrheumatoid patients with short-term nonsteroidal anti-inflammatory drug therapy: a prospective randomized multicenter study.胃黏膜保护在短期使用非甾体抗炎药的非类风湿性患者中的作用:一项前瞻性随机多中心研究。
Hepatogastroenterology. 1997 May-Jun;44(15):872-9.
9
Does famotidine have similar efficacy to misoprostol in the treatment of non-steroidal anti-inflammatory drug-induced gastropathy?法莫替丁在治疗非甾体抗炎药所致胃病方面与米索前列醇疗效相似吗?
Int J Clin Pract. 1998 Oct;52(7):472-4.
10
Effects of a synthetic prostanoid, rosaprostol, on the changes of gastric acidity and digestive disorders induced by NSAID.合成前列腺素罗沙前列醇对非甾体抗炎药引起的胃酸变化和消化紊乱的影响。
Int J Clin Pharmacol Res. 1988;8(5):345-51.

引用本文的文献

1
Nonsteroidal anti-inflammatory drugs, gastroprotection, and benefit-risk.非甾体抗炎药、胃保护作用及获益风险
Pain Pract. 2014 Apr;14(4):378-95. doi: 10.1111/papr.12100. Epub 2013 Aug 14.