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长期使用西咪替丁治疗重度十二指肠溃疡消化不良。

Long term cimetidine in the management of severe duodenal ulcer dyspepsia.

作者信息

Gray G R, Smith I S, Mackenzie I, Gillespie G

出版信息

Gastroenterology. 1978 Feb;74(2 Pt 2):397-401.

PMID:340329
Abstract

Sixty patients who had been referred for elective ulcer surgery, and in whom a remission had been induced, entered a prospective double blind controlled trial of a single daily dose of 400 mg of cimetidine given at bedtime, or placebo. Eighty per cent of patients receiving placebo suffered symptomatic relapse and recurrence of duodenal ulceration at endoscopy within 6 months. The mean interval to relapse was 10 weeks. On the other hand, only 27 percent of patients had a recurrence during the 6-month period on low dose cimetidine therapy. No significant toxic or other side effects which could be attributed to the drug were observed.

摘要

六十名因择期溃疡手术前来就诊且病情已得到缓解的患者,进入了一项前瞻性双盲对照试验,该试验中患者被随机分为两组,一组患者每晚睡前服用400毫克西咪替丁的单日剂量,另一组服用安慰剂。接受安慰剂治疗的患者中有80%在6个月内出现症状复发以及十二指肠溃疡在内镜检查下的复发。复发的平均间隔时间为10周。另一方面,在低剂量西咪替丁治疗的6个月期间,只有27%的患者出现复发。未观察到可归因于该药物的明显毒性或其他副作用。

相似文献

1
Long term cimetidine in the management of severe duodenal ulcer dyspepsia.长期使用西咪替丁治疗重度十二指肠溃疡消化不良。
Gastroenterology. 1978 Feb;74(2 Pt 2):397-401.
2
Cimetidine treatment of duodenal ulceration: short term clinical trial and maintenance study.西咪替丁治疗十二指肠溃疡:短期临床试验与维持性研究。
Gastroenterology. 1978 Feb;74(2 Pt 2):389-92.
3
Prevention of duodenal ulcer relapse by cimetidine: a one-year double-blind trial.西咪替丁预防十二指肠溃疡复发:一项为期一年的双盲试验。
Med J Aust. 1979 Jun 2;1(11):529-31.
4
Cimetidine in the treatment of duodenal ulcer: review and commentary.西咪替丁治疗十二指肠溃疡:综述与评论。
Gastroenterology. 1978 Feb;74(2 Pt 2):402-6.
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Treatment and relapse prophylaxis of duodenal ulcer with pirenzepine and cimetidine.用哌仑西平和西咪替丁治疗十二指肠溃疡及预防复发
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Cimetidine versus intensive antacid therapy for duodenal ulcer: a multicenter trial.西咪替丁与强化抗酸治疗十二指肠溃疡的多中心试验
Gastroenterology. 1978 Feb;74(2 Pt 2):393-5.
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Cimetidine, cigarette smoking, and recurrence of duodenal ulcer.西咪替丁、吸烟与十二指肠溃疡复发
N Engl J Med. 1984 Sep 13;311(11):689-93. doi: 10.1056/NEJM198409133111101.
8
Five-year study of cimetidine or surgery for severe duodenal ulcer dyspepsia.西咪替丁或手术治疗重度十二指肠溃疡消化不良的五年研究。
Lancet. 1982 Apr 3;1(8275):787-8. doi: 10.1016/s0140-6736(82)91823-2.
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[Treatment and prevention of recurrence of duodenal ulcer with pirenzepin and cimetidine].用哌仑西平和西咪替丁治疗及预防十二指肠溃疡复发
Schweiz Med Wochenschr. 1982 Jan 2;112(1):25-30.
10
[Therapy of duodenal and prepyloric ulcers with cimetidine (author's transl)].用西咪替丁治疗十二指肠溃疡和幽门前溃疡(作者译)
Wien Klin Wochenschr. 1979 Jan 19;91(2):53-7.

引用本文的文献

1
Approach to dyspepsia.消化不良的诊治方法
Can Fam Physician. 1988 Mar;34:613-7.
2
Cimetidine and duodenal ulcer: a study of initial and low dosage maintenance treatment in Ireland.西咪替丁与十二指肠溃疡:爱尔兰初始及低剂量维持治疗的研究
Ir J Med Sci. 1980 Jul;149(7):270-4. doi: 10.1007/BF02939153.
3
Effect of treatment with cimetidine for one year on gastrin cell and parietal cell function and sensitivity to cimetidine in patients with duodenal or gastric ulcers.西咪替丁治疗一年对十二指肠溃疡或胃溃疡患者胃泌素细胞、壁细胞功能及对西咪替丁敏感性的影响。
Postgrad Med J. 1980 Oct;56(660):698-701. doi: 10.1136/pgmj.56.660.698.
4
Problems in the medical treatment of peptic ulcers.消化性溃疡的医学治疗中的问题。
J R Coll Physicians Lond. 1980 Jul;14(3):169-72.
5
Cimetidine or propantheline combined with antacid therapy for short-term treatment of duodenal ulcer.西咪替丁或丙胺太林联合抗酸疗法用于十二指肠溃疡的短期治疗。
Dig Dis Sci. 1982 May;27(5):388-93. doi: 10.1007/BF01295645.
6
Bedtime cimetidine maintenance treatment: optimum dose and effect on subsequent natural history of duodenal ulcer.睡前西咪替丁维持治疗:最佳剂量及对十二指肠溃疡后续自然病程的影响。
Gut. 1982 Mar;23(3):239-42. doi: 10.1136/gut.23.3.239.
7
Cimetidine vs placebo in duodenal ulcer therapy. Six-week controlled double-blind investigation without any antacid therapy.西咪替丁与安慰剂治疗十二指肠溃疡的对比。为期六周的无任何抗酸剂治疗的对照双盲研究。
Dig Dis Sci. 1980 Oct;25(10):744-9. doi: 10.1007/BF01345292.
8
Cimetidine treatment for the prevention of recurrence of duodenal ulcer: an international collaborative study.西咪替丁预防十二指肠溃疡复发的治疗:一项国际合作研究。
Postgrad Med J. 1980 Mar;56(653):173-6. doi: 10.1136/pgmj.56.653.173.
9
Relapse rate of duodenal ulcer after cessation of long-term cimetidine treatment: a double-blind controlled study.长期西咪替丁治疗停止后十二指肠溃疡的复发率:一项双盲对照研究。
Dig Dis Sci. 1980 Feb;25(2):88-91. doi: 10.1007/BF01308302.
10
Giant duodenal ulcers. Successful healing with medical therapy.巨大十二指肠溃疡。药物治疗成功治愈。
Dig Dis Sci. 1983 Jun;28(6):486-9. doi: 10.1007/BF01308148.