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雷尼替丁预防阿司匹林所致胃黏膜出血

Prophylaxis of aspirin-induced gastric mucosal bleeding with ranitidine.

作者信息

Hawkey C J, Somerville K W, Marshall S

机构信息

Department of Therapeutics, University Hospital, Nottingham, UK.

出版信息

Aliment Pharmacol Ther. 1988 Jun;2(3):245-52. doi: 10.1111/j.1365-2036.1988.tb00694.x.

DOI:10.1111/j.1365-2036.1988.tb00694.x
PMID:2979248
Abstract

The ability of ranitidine to protect the human gastric mucosa against aspirin-induced damage was investigated by timed measurements of blood loss collected by gastric washing. Ranitidine (150 mg) 1 h or 5 h before 900 mg aspirin (5 doses of each) over 48 h reduced subsequent mean bleeding from 7.7 microliters/10 min to 2.6 microliters/10 min or 3.4 microliters/10 min, respectively. Both regimens were antisecretory at the time of aspirin administration, as judged by a rise in the pH of the aspirated washings. The prolonged protection against aspirin-induced bleeding achieved with twice daily dosing with ranitidine has clinical potential in the management of patients taking anti-inflammatory drugs.

摘要

通过定时测量洗胃收集的失血量,研究了雷尼替丁保护人胃黏膜免受阿司匹林诱导损伤的能力。在48小时内服用900毫克阿司匹林(各5剂)前1小时或5小时给予雷尼替丁(150毫克),随后平均出血量分别从7.7微升/10分钟降至2.6微升/10分钟或3.4微升/10分钟。根据吸出冲洗液pH值的升高判断,两种给药方案在服用阿司匹林时均具有抗分泌作用。雷尼替丁每日两次给药对阿司匹林诱导的出血具有延长的保护作用,这在服用抗炎药物患者的管理中具有临床潜力。

相似文献

1
Prophylaxis of aspirin-induced gastric mucosal bleeding with ranitidine.雷尼替丁预防阿司匹林所致胃黏膜出血
Aliment Pharmacol Ther. 1988 Jun;2(3):245-52. doi: 10.1111/j.1365-2036.1988.tb00694.x.
2
Ranitidine: differential effects on gastric bleeding and mucosal damage induced by aspirin.雷尼替丁:对阿司匹林所致胃出血和黏膜损伤的不同作用
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Enhanced gastric mucosal bleeding with doses of aspirin used for prophylaxis and its reduction by ranitidine.用于预防的阿司匹林剂量会加重胃黏膜出血,而雷尼替丁可减轻这种出血。
Br J Clin Pharmacol. 1989 Nov;28(5):581-5. doi: 10.1111/j.1365-2125.1989.tb03545.x.
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Failure of ethamsylate to reduce aspirin-induced gastric mucosal bleeding in humans.止血敏未能减少阿司匹林诱发的人类胃黏膜出血。
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Ranitidine bismuth citrate and aspirin-induced gastric mucosal injury.枸橼酸铋雷尼替丁与阿司匹林所致胃黏膜损伤。
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Reduction by enprostil of aspirin-induced blood loss from human gastric mucosa.恩前列素对阿司匹林所致人胃黏膜失血的减少作用。
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Strategies for preventing aspirin-induced gastric bleeding.预防阿司匹林所致胃出血的策略。
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Human gastric mucosal bleeding induced by low dose aspirin, but not warfarin.低剂量阿司匹林可导致人体胃黏膜出血,但华法林不会。
BMJ. 1989 Feb 25;298(6672):493-6. doi: 10.1136/bmj.298.6672.493.
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Ranitidine protects against gastroduodenal mucosal damage associated with chronic aspirin therapy.雷尼替丁可预防与慢性阿司匹林治疗相关的胃十二指肠黏膜损伤。
Arch Intern Med. 1987 Dec;147(12):2137-9.
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[Ranitidine protects the human stomach and duodenal mucosa against low-dose acetylsalicylic acid].雷尼替丁可保护人胃和十二指肠黏膜免受低剂量阿司匹林的损伤。
Z Gastroenterol. 1989 Dec;27(12):722-4.

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Failure of ethamsylate to reduce aspirin-induced gastric mucosal bleeding in humans.止血敏未能减少阿司匹林诱发的人类胃黏膜出血。
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Drugs. 1989 Jun;37(6):801-70. doi: 10.2165/00003495-198937060-00003.
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Enhanced gastric mucosal bleeding with doses of aspirin used for prophylaxis and its reduction by ranitidine.用于预防的阿司匹林剂量会加重胃黏膜出血,而雷尼替丁可减轻这种出血。
Br J Clin Pharmacol. 1989 Nov;28(5):581-5. doi: 10.1111/j.1365-2125.1989.tb03545.x.
9
Human gastric mucosal bleeding induced by low dose aspirin, but not warfarin.低剂量阿司匹林可导致人体胃黏膜出血,但华法林不会。
BMJ. 1989 Feb 25;298(6672):493-6. doi: 10.1136/bmj.298.6672.493.