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[奥美拉唑与泮托拉唑治疗哮喘合并胃食管反流病患者的疗效比较]

[Comparison of the effectiveness of omeprazole and pantoprazole treatment of gastroesophageal reflux disease in patients with asthma].

作者信息

Popadynets' I R

出版信息

Lik Sprava. 2013 Sep(6):47-53.

Abstract

The combination of bronchial asthma with pathology of the digestive tract--one of the most frequent, clinically diverse and difficult, which complicates its course. The prevalence of gastroesophageal reflux disease in patients with asthma ranged from 33 to 90%. Aggravation of GERD is considered as one of the triggers of asthma attacks. The basis for treatment of GERD is acid suppression. Select proton pump inhibitors as the primary means of therapy related to their antisecretory action. Among the PPI pantoprazole can be identified that has high bioavailability, has minimal drug interactions with other drugs and a favorable safety profile. In patients taking pantoprazole pH-metry approached the norm, the proportion of time with pH < 4 decreased from 2 h 31 min to 52 min. On the background of pantoprazole indicators of lung function were better and significantly higher than in the groupwith omeprazole. Patients with combined pathology requiring compulsory treatment concomitant GERD, which will improve the course of asthma and help to achieve control.

摘要

支气管哮喘与消化道疾病并存——这是最常见、临床症状多样且棘手的情况之一,会使哮喘病程复杂化。哮喘患者中胃食管反流病的患病率在33%至90%之间。胃食管反流病的加重被认为是哮喘发作的诱因之一。治疗胃食管反流病的基础是抑制胃酸。选择质子泵抑制剂作为主要治疗手段与其抗分泌作用有关。在质子泵抑制剂中,泮托拉唑具有高生物利用度、与其他药物的药物相互作用最小且安全性良好的特点。服用泮托拉唑的患者的pH测定接近正常,pH<4的时间比例从2小时31分钟降至52分钟。在泮托拉唑治疗期间,肺功能指标比使用奥美拉唑的组更好且显著更高。患有合并症的患者需要强制治疗伴随的胃食管反流病,这将改善哮喘病程并有助于实现控制。

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