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[西咪替丁治疗十二指肠溃疡的短期(28天)结果]

[Results of the short-term (28 days) cimetidine treatment of duodenal ulcer].

作者信息

Maleev A, Konstantinova N, Vradzhaliev Zh, Shipkov T, Deredzhan S

出版信息

Vutr Boles. 1979;18(2):22-7.

PMID:380169
Abstract

The results from a short-term (28 days) treatment of patients with duodenal ulcer are reported. The average surface of the ulcers from 40.4 mm2 (initial average value) diminished to 7.3 mm2 by the 14 th day of the treatment. The graphic study of the kinetics of healing of the ulcer process revealed that in a treatment with 0.8--1.0 g Simetidin, a diminution of the ulcer by half (t/2) could be expected by the seventh day. In 16, out of the 21 treated, the ulcer epithelized by the 14th day of the treatment. In one patient a prolonged treatment of 42 days proved to be necessary to guarantee the epithelization of the ulcer. In 2/3 of treated patients, the pain complaints, the sensation of warmth and acidity disappeared by the end of the first week of the treatment. The average values of the basic and peak acid output (BAO and PAO), the N-acetyl neuramine acid output, the gastrin basic level, GOT, GPT and creatinine in serum do not change after the treatment. A significant reduction of hemoglobin concentration in the gastric juice is established after the treatment with Simetidin.

摘要

报告了十二指肠溃疡患者短期(28天)治疗的结果。溃疡的平均面积从40.4平方毫米(初始平均值)在治疗第14天时缩小至7.3平方毫米。对溃疡愈合动力学的图表研究显示,在用0.8 - 1.0克西咪替丁治疗时,预计到第7天溃疡面积可缩小一半(t/2)。在21例接受治疗的患者中,有16例在治疗第14天时溃疡上皮化。有1例患者需要延长治疗42天以确保溃疡上皮化。在2/3接受治疗的患者中,治疗第一周结束时疼痛主诉、温热感和胃酸感消失。治疗后血清中基础酸排出量和高峰酸排出量(BAO和PAO)、N - 乙酰神经氨酸排出量、胃泌素基础水平、谷草转氨酶(GOT)、谷丙转氨酶(GPT)和肌酐的平均值未发生变化。用西咪替丁治疗后,胃液中血红蛋白浓度显著降低。

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