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雷尼替丁与硫糖铝联合治疗对西咪替丁耐药的十二指肠溃疡

[Combined therapy using ranitidine and sucralfate in duodenal ulcer resistant to cimetidine].

作者信息

Uribarrena R, Arín A, Valera J I, Oreja M, Burusco M J, Pueyo A, Fortún M T

机构信息

Servicio de Digestivo, Hospital de Navarra.

出版信息

Rev Clin Esp. 1990 Apr;186(7):328-31.

PMID:2392595
Abstract

122 patients with duodenal ulcus have been treated with a cimetidine's single night dose of 800 mg over 6 or 12 weeks. After this period of time, 18 patients still had their wounds without complete healing. This group of patients had been afterwards treated with a combination of ranitidine and sulfacrate over a six weeks period. Only 3 of them achieved a complete ulcus reepitelization, although all of them were clinically asymptomatic. These 3 patients moved to a nightly maintenance treatment guideline of 150 mg of ranitidine, but they quickly presented relapses. A significantly higher consumption of tobacco and alcohol was observed among the patients who did not heal after 12 weeks of treatment with cimetidine. On the other hand the rest of the general facts and ulcus endoscopic characteristics have been similar both in patients resistant to cimetidine and in those who had a favorable evolution.

摘要

122例十二指肠溃疡患者接受了西咪替丁单次夜间剂量800毫克的治疗,疗程为6周或12周。在此时间段后,18例患者的伤口仍未完全愈合。这组患者随后接受了雷尼替丁和硫糖铝联合治疗,为期六周。尽管他们在临床上均无症状,但其中只有3例实现了溃疡完全上皮再生。这3例患者转为每晚服用150毫克雷尼替丁的维持治疗方案,但他们很快出现了复发。在用西咪替丁治疗12周后未愈合的患者中,观察到烟草和酒精的消耗量明显更高。另一方面,在对西咪替丁耐药的患者和病情好转的患者中,其余的一般情况和溃疡内镜特征相似。

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