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[奥美拉唑治疗消化性溃疡:抑酸作用与内镜下愈合]

[Omeprazole in peptic ulceration: acid inhibition and endoscopic healing].

作者信息

Chen S P, Mai C R, Ke M Y

出版信息

Zhonghua Nei Ke Za Zhi. 1989 Dec;28(12):720-1, 767.

PMID:2636088
Abstract

Basal and pentagastrin stimulated gastric acid secretions were measured in 20 patients with duodenal ulcer before and after one week of treatment with oral omeprazole 20 mg daily. Omeprazole markedly inhibited gastric acid secretion in all the patients. The mean basal intragastric pH rose from 1.6 to 6.3, and the BAO and MAO were reduced by 86.9% and 83.9% respectively on day 7 of the study. We also conducted a clinical trial in 63 duodenal and 12 gastric ulcer patients. Each patient received 20 mg omeprazole. 98% of the patients were free of pain within first week of the treatment. After 2, 4 and 6 weeks of treatment, the healing rates of duodenal ulcer were 81.3%, 96.8% and 100% respectively, and those of gastric ulcer were 50%, 91.7% and 100% respectively. The drug was well tolerated and no side effect was observed.

摘要

对20例十二指肠溃疡患者在每日口服20毫克奥美拉唑治疗一周前后,测量基础胃酸分泌量和五肽胃泌素刺激的胃酸分泌量。奥美拉唑显著抑制了所有患者的胃酸分泌。在研究的第7天,胃内平均基础pH值从1.6升至6.3,基础胃酸排量(BAO)和最大胃酸排量(MAO)分别降低了86.9%和83.9%。我们还对63例十二指肠溃疡患者和12例胃溃疡患者进行了一项临床试验。每位患者服用20毫克奥美拉唑。98%的患者在治疗的第一周内疼痛消失。治疗2周、4周和6周后,十二指肠溃疡的愈合率分别为81.3%、96.8%和100%,胃溃疡的愈合率分别为50%、91.7%和100%。该药物耐受性良好,未观察到副作用。

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