Doessel D P, Gammie G J
Med J Aust. 1985 Jul 8;143(1):16-9.
Although numerous clinical trials have demonstrated that cimetidine is efficacious in the treatment of peptic ulcer, fewer studies have examined whether cimetidine reduces the need for surgical therapy when it is prescribed in the noncontrolled environment of clinical medicine. This study reports on the surgical experience in the State of Queensland which has an excellent data set for investigating this matter. The results suggest that cimetidine therapy has led to a reduction in the rates of surgical interventions for gastric ulcers, but has had no effect on the rates of surgery for duodenal ulcers. This conclusion holds both for male and for female patients.
尽管大量临床试验已证明西咪替丁在治疗消化性溃疡方面有效,但在临床医学的非对照环境中使用西咪替丁时,较少有研究探讨其是否能减少手术治疗的需求。本研究报告了昆士兰州的手术经验,该州拥有用于调查此事的出色数据集。结果表明,西咪替丁治疗已导致胃溃疡手术干预率降低,但对十二指肠溃疡的手术率没有影响。这一结论对男性和女性患者均成立。