Penston J G, Wormsley K G
Ninewells Hospital and Medical School, Dundee, Scotland.
Aliment Pharmacol Ther. 1989 Oct;3(5):499-503. doi: 10.1111/j.1365-2036.1989.tb00241.x.
Fifty-six patients who presented with non-steroidal anti-inflammatory drug-associated duodenal ulcers received maintenance treatment with ranitidine. Forty-eight of these patients stopped treatment with non-steroidal anti-inflammatory drugs. The cumulative symptomatic remission at the end of 5 years of maintenance treatment was 97.7%. While half the patients had presented with haemorrhage from the ulcer, only one patient bled during maintenance treatment, giving a cumulative risk of 2.3% in 5 years of maintenance treatment. We conclude that maintenance treatment with ranitidine effectively and safely keeps patients with non-steroidal anti-inflammatory drug-associated ulcers symptom- and risk-free.
56例患有非甾体抗炎药相关性十二指肠溃疡的患者接受了雷尼替丁维持治疗。其中48例患者停用了非甾体抗炎药。维持治疗5年末的累积症状缓解率为97.7%。虽然一半的患者曾出现溃疡出血,但维持治疗期间只有1例患者出血,5年维持治疗的累积风险为2.3%。我们得出结论,雷尼替丁维持治疗能有效且安全地使非甾体抗炎药相关性溃疡患者无症状且无风险。