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三甲丙咪嗪治疗胃溃疡

Trimipramine in the treatment of gastric ulcer.

作者信息

Valnes K, Myren J, Qvigstad T

出版信息

Scand J Gastroenterol. 1978;13(4):497-500. doi: 10.3109/00365527809181928.

DOI:10.3109/00365527809181928
PMID:353969
Abstract

Forty patients with endoscopically confirmed gastric ulcers, completed a double-blind study comparing trimipramine with placebo during 4 weeks' treatment. The daily dose of trimipramine was 50 mg given before bedtime. No serious side-effects occurred. After four weeks' treatment 12 of the 20 patients receiving trimipramine had endoscopically completely healed ulcers, while in the placebo group only 4 of the 20 ulcers were healed (P = 0.025). With regard to the patients' complaints, a distinct and statistically significant improvement was also observed in the patients receiving trimipramine (P = 0.025). It is assumed that the previously shown antisecretory effect of the drug, together with the sedative and anti-depressive effect, make trimipramine a valuable drug in the treatment of peptic ulcer disease.

摘要

40例经内镜确诊为胃溃疡的患者完成了一项双盲研究,该研究比较了曲米帕明与安慰剂在4周治疗期间的效果。曲米帕明的每日剂量为50mg,睡前服用。未出现严重副作用。经过四周的治疗,接受曲米帕明治疗的20例患者中有12例经内镜检查溃疡完全愈合,而安慰剂组的20例溃疡中只有4例愈合(P = 0.025)。关于患者的主诉,接受曲米帕明治疗的患者也观察到明显且具有统计学意义的改善(P = 0.025)。据推测,该药物先前显示的抗分泌作用,以及镇静和抗抑郁作用,使曲米帕明成为治疗消化性溃疡疾病的一种有价值的药物。

相似文献

1
Trimipramine in the treatment of gastric ulcer.三甲丙咪嗪治疗胃溃疡
Scand J Gastroenterol. 1978;13(4):497-500. doi: 10.3109/00365527809181928.
2
Comparative study of cimetidine and trimipramine in the short-term treatment of duodenal and gastric ulcer.西咪替丁与曲米帕明短期治疗十二指肠溃疡和胃溃疡的对比研究
Scand J Gastroenterol. 1983 Jan;18(1):33-8. doi: 10.3109/00365528309181555.
3
[Trimipramine in the treatment of gastric ulcer. A double-blind study].[曲米帕明治疗胃溃疡。一项双盲研究]
Tidsskr Nor Laegeforen. 1978 Oct 10;98(28):1373-5.
4
Double-blind trial of trimipramine in the treatment of duodenal ulcer.曲米帕明治疗十二指肠溃疡的双盲试验。
Med J Aust. 1980 Nov 15;2(10):567-8. doi: 10.5694/j.1326-5377.1980.tb100771.x.
5
Long-term treatment of duodenal ulcer with trimipramine. A double-blind study.
Scand J Gastroenterol. 1982 Nov;17(8):1003-7.
6
Clinical trial value of trimipramine versus placebo in duodenal ulcer healing.曲米帕明与安慰剂对十二指肠溃疡愈合的临床试验价值
Gut. 1981 Dec;22(12):1045-7. doi: 10.1136/gut.22.12.1045.
7
Trimipramine in the treatment of active duodenal ulceration.三甲丙咪嗪治疗活动性十二指肠溃疡
Scand J Gastroenterol. 1981;16(2):295-8. doi: 10.3109/00365528109181971.
8
Trimipramine and duodenal ulcer.三甲丙咪嗪与十二指肠溃疡
Scand J Gastroenterol Suppl. 1980;58:71-8.
9
Relapse prevention of duodenal ulcers with trimipramine, cimetidine, or placebo. A double-blind comparison.用三甲丙咪嗪、西咪替丁或安慰剂预防十二指肠溃疡复发。一项双盲对照研究。
Scand J Gastroenterol. 1984 May;19(3):405-10.
10
Efficacy of trimipramine and cimetidine in the treatment of duodenal ulcer. A double-blind comparison.
Scand J Gastroenterol. 1983 Jan;18(1):137-43. doi: 10.3109/00365528309181573.

引用本文的文献

1
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.
2
Inhibition of pentagastrin-stimulated and overnight gastric secretion by mianserin.米安色林对五肽胃泌素刺激的和夜间胃分泌的抑制作用。
Br J Clin Pharmacol. 1983;15 Suppl 2(Suppl 2):329S-333S. doi: 10.1111/j.1365-2125.1983.tb05882.x.
3
Newer antisecretory agents for peptic ulcer.用于消化性溃疡的新型抗分泌药物。
Drugs. 1983 Mar;25(3):315-30. doi: 10.2165/00003495-198325030-00003.
4
New drugs for peptic ulcer.治疗消化性溃疡的新药。
Br Med J. 1980 Jul 12;281(6233):95-6.
5
The pathophysiology of peptic ulcer disease.消化性溃疡病的病理生理学
Dig Dis Sci. 1985 Nov;30(11 Suppl):15S-29S. doi: 10.1007/BF01309381.