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[肝硬化合并消化性溃疡患者病变瘢痕形成及复发预防的临床内镜研究]

[A clinico-endoscopic study on cicatrization of lesions and prevention of recurrences in patients with liver cirrhosis and peptic ulcer].

作者信息

Di Mario F, Gottardello L, Burra P, Salvagnini M, Dalrì L, Leandro G, Contento F, Torri A, Naccarato R

机构信息

Divisione di Gastroenterologia R. Farini, Università e Ospedale Padova.

出版信息

G Clin Med. 1990 Apr;71(4):259-62, 265-6.

PMID:1973392
Abstract

Seventy-four and five cirrhotic patients with acute peptic ulcer were respectively treated with H2-blockers and cytoprotective drugs for 4-6 weeks; after this period 49 (62.2%) healed and 14 (17.7%) did not heal after further 2 months with the same therapy. In order to observe the effectiveness of H2-blockers in preventing peptic ulcer recurrences, 77 cirrhotic patients were followed-up for a mean period of 12 months (range 3-48 months) after ulcer scarring; 51.2% under H2-blockers maintenance treatment and 54.8% who took antiacid in case of need, relapsed. The therapeutical response, as regards short-term treatment in cirrhotic patients, seems not to differ from the usual outcome of the general ulcer population; on the contrary, the relapses, also during a maintenance therapy, appears increased.

摘要

74例和5例肝硬化合并急性消化性溃疡患者分别接受H2受体阻滞剂和细胞保护药物治疗4 - 6周;在此期间后,继续使用相同疗法2个月后,49例(62.2%)愈合,14例(17.7%)未愈合。为观察H2受体阻滞剂预防消化性溃疡复发的效果,77例肝硬化患者在溃疡瘢痕形成后平均随访12个月(范围3 - 48个月);接受H2受体阻滞剂维持治疗的患者中有51.2%复发,按需服用抗酸剂的患者中有54.8%复发。关于肝硬化患者的短期治疗,其治疗反应似乎与一般溃疡人群的通常结果没有差异;相反,即使在维持治疗期间,复发率似乎也有所增加。

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