Wayne State University School of Medicine, Digestive Health Associates PLC, 30055 Northwestern Highway, suite #250, Farmington Hills, MI 48334, USA.
Dig Dis Sci. 2010 Feb;55(2):338-45. doi: 10.1007/s10620-009-0864-7. Epub 2009 Jun 26.
To provide additional efficacy data in patients treated with rabeprazole through week 4, and to validate sustained relief of gastroesophageal reflux disease symptoms through week 8 as well as to further analyze rabeprazole safety in patients with wide-ranging demographic and clinical characteristics.
Patients in this study (N = 2,449) demonstrated significant overall improvement versus baseline (P < 0.001). Substantial symptom relief was seen throughout 8 weeks of treatment. By week 4, complete relief of daytime and nighttime heartburn, belching, regurgitation, and dysphagia was observed in 87.5, 90.7, 50.7, 77.6, and 75.1% of patients, respectively. Improvements were seen in rabeprazole-treated patients (<65 or >or=65 years) with a range of baseline symptom severities and across different racial groups. Rabeprazole was well tolerated.
In patients with endoscopy-confirmed erosive esophagitis treated with once-daily rabeprazole 20 mg, prompt and continuing improvements were seen in daytime and nighttime heartburn, belching, regurgitation, and dysphagia.
通过第 4 周,为接受雷贝拉唑治疗的患者提供额外的疗效数据,并验证胃食管反流病症状缓解的持续时间至第 8 周,同时进一步分析雷贝拉唑在具有广泛人口统计学和临床特征的患者中的安全性。
本研究中的患者(N=2449)与基线相比表现出显著的整体改善(P<0.001)。治疗 8 周内观察到症状明显缓解。到第 4 周时,分别有 87.5%、90.7%、50.7%、77.6%和 75.1%的患者完全缓解了白天和夜间烧心、嗳气、反流和吞咽困难。在基线症状严重程度和不同种族群体中,雷贝拉唑治疗的患者(<65 岁或≥65 岁)均观察到改善。雷贝拉唑耐受性良好。
在接受每日一次雷贝拉唑 20mg 治疗的内镜证实的糜烂性食管炎患者中,日间和夜间烧心、嗳气、反流和吞咽困难均有迅速和持续的改善。