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预防阿司匹林所致胃出血的策略。

Strategies for preventing aspirin-induced gastric bleeding.

作者信息

Hawkey C J, Prichard P J, Somerville K W

出版信息

Scand J Gastroenterol Suppl. 1986;125:170-3. doi: 10.3109/00365528609093834.

DOI:10.3109/00365528609093834
PMID:3103204
Abstract

Prostaglandins protect the gastric mucosa in animals, but the evidence of an effect independent of pH changes in man is not overwhelming. Gastrointestinal bleeding because of non-steroidal anti-inflammatory drugs is a major clinical problem, which we have investigated in a model system measuring bleeding rates caused by short-term administration of aspirin. Of the various strategies tested, only those that elevated intra-gastric pH reduced aspirin-induced bleeding.

摘要

前列腺素可保护动物的胃黏膜,但关于其在人体中存在独立于pH值变化的效应的证据并不充分。非甾体抗炎药所致的胃肠道出血是一个主要的临床问题,我们在一个测量短期服用阿司匹林引起的出血率的模型系统中对此进行了研究。在测试的各种策略中,只有那些能提高胃内pH值的策略可减少阿司匹林引起的出血。

相似文献

1
Strategies for preventing aspirin-induced gastric bleeding.预防阿司匹林所致胃出血的策略。
Scand J Gastroenterol Suppl. 1986;125:170-3. doi: 10.3109/00365528609093834.
2
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。
Am J Med. 1986 Aug 18;81(2A):50-3. doi: 10.1016/s0002-9343(86)80011-0.
3
Protective effect of low dose of enprostil against gastric blood loss induced by aspirin in man.低剂量恩前列素对阿司匹林所致人体胃失血的保护作用。
Scand J Gastroenterol. 1989 Sep;24(7):827-32. doi: 10.3109/00365528909089222.
4
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.
5
Protective effect of gamma-linolenic acid on aspirin-induced gastric hemorrhage in rats.γ-亚麻酸对阿司匹林诱导的大鼠胃出血的保护作用。
Digestion. 1987;36(1):36-41. doi: 10.1159/000199396.
6
Protective effect of enprostil against aspirin-induced gastroduodenal mucosal injury in man. Comparison with cimetidine and sucralfate.恩前列素对人体阿司匹林诱导的胃十二指肠黏膜损伤的保护作用。与西咪替丁和硫糖铝的比较。
Am J Med. 1986 Aug 18;81(2A):54-8. doi: 10.1016/s0002-9343(86)80012-2.
7
Fatty acid changes in liver choline and ethanolamine glycerophospholipids in aspirin-treated rats fed linoleate, gamma-linolenate and fish oil.喂食亚油酸、γ-亚麻酸和鱼油的阿司匹林处理大鼠肝脏胆碱和乙醇胺甘油磷脂中的脂肪酸变化
Clin Physiol Biochem. 1989;7(2):79-86.
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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
Aliment Pharmacol Ther. 1992 Dec;6(6):707-15. doi: 10.1111/j.1365-2036.1992.tb00735.x.
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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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Involvement of (n-6) essential fatty acids and prostaglandins in liver lipid accumulation in Japanese quail.(n-6)必需脂肪酸和前列腺素在日本鹌鹑肝脏脂质积累中的作用。
Am J Vet Res. 1996 Mar;57(3):342-5.

引用本文的文献

1
Effect in man of aspirin, standard indomethacin, and sustained release indomethacin preparations on gastric bleeding.阿司匹林、标准吲哚美辛及吲哚美辛缓释制剂对人体胃出血的影响。
Br J Clin Pharmacol. 1988 Aug;26(2):167-72. doi: 10.1111/j.1365-2125.1988.tb03382.x.
2
Prevention of gastroduodenal damage induced by non-steroidal anti-inflammatory drugs: controlled trial of ranitidine.预防非甾体抗炎药所致胃十二指肠损伤:雷尼替丁对照试验
BMJ. 1988 Oct 22;297(6655):1017-21. doi: 10.1136/bmj.297.6655.1017.
3
Abolition by omeprazole of aspirin induced gastric mucosal injury in man.
奥美拉唑对阿司匹林所致人体胃黏膜损伤的消除作用。
Gut. 1990 May;31(5):514-7. doi: 10.1136/gut.31.5.514.