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前瞻性非对照临床研究表明,使用Refluthin可迅速且持久地缓解烧心及胃酸相关的胃部不适。

Prospective uncontrolled clinical study shows rapid and long lasting relief of heartburn and acid related gastric discomfort with Refluthin.

作者信息

Madisch Ahmed, Pace Fabio, Menzel Daniel, Funk Petra, Stracke Berenike, Schön Christiane, Labenz Joachim

机构信息

Gastroenterology Center Bethanien, Im Prüfling 21-25, 60389, Frankfurt am Main, Germany.

GI Unit, Bolognini Hospital, Via Paderno 21, 24068, Seriate, Bergamo, Italy.

出版信息

Sci Rep. 2025 May 7;15(1):15896. doi: 10.1038/s41598-025-98558-z.

Abstract

Heartburn and acid regurgitation are main symptoms of gastro-esophageal reflux, a widespread complaint with a significant impact on quality of life (QoL). Refluthin® for Heartburn chewable tablets (Refluthin) are a symptomatic treatment option containing a combination of an antacid (CaCO, MgCO) and a polysaccharide-rich extract with mucoprotective substances from Opuntia ficus-indica cladodes. To investigate performance and safety of Refluthin in the rapid and long lasting relief of heartburn and acid related gastric discomfort under practical use conditions, a prospective, clinical, uncontrolled, open-label study was conducted. Adults with symptomatic heartburn, acid regurgitation, and/or recurrent acid related gastric discomfort took one tablet Refluthin up to four times/day as needed for up to 4 weeks. Endpoints were both time to onset and duration of symptom relief; reflux symptom intensity/frequency; global assessments (QoL, performance, satisfaction, usability, tolerability); and safety. 81/100 participants (81%) responded with a first symptom relief within ≤ 20 min in ≥ 50% of the individual applications. Long lasting effects of > 120 min were reported by 83/100 (83%) participants. Significant reductions in heartburn event frequency and intensity were seen within the 4 weeks of intermittent use (p < 0.0001, respectively). Global assessment results and safety-relevant findings were also favorable. Results thus demonstrated a distinct rapid and long lasting symptom relief after intake of Refluthin, with a safe and easy use. The significant reductions in frequency and intensity of heartburn events over time indicate sustained effects under treatment. These long-term effects might be explainable by soothing and protection of the irritated mucous membrane by Refluthin.

摘要

烧心和胃酸反流是胃食管反流的主要症状,这是一种普遍存在的病症,对生活质量(QoL)有重大影响。Refluthin®烧心咀嚼片(Refluthin)是一种对症治疗药物,含有抗酸剂(碳酸钙、碳酸镁)和富含多糖的提取物,该提取物含有来自仙人掌肉质茎的具有粘膜保护作用的物质。为了研究Refluthin在实际使用条件下快速、持久缓解烧心和胃酸相关胃部不适的效果及安全性,开展了一项前瞻性、临床、非对照、开放标签研究。有症状性烧心、胃酸反流和/或复发性胃酸相关胃部不适的成年人根据需要每天服用1片Refluthin,最多4次,持续4周。观察终点包括症状缓解的起效时间和持续时间;反流症状强度/频率;整体评估(生活质量、表现、满意度、易用性、耐受性);以及安全性。81/100名参与者(81%)在≥50%的单次用药中在≤20分钟内出现首次症状缓解。83/100名(83%)参与者报告有超过120分钟的持久效果。在间歇性使用的4周内,烧心事件的频率和强度显著降低(分别为p<0.0001)。整体评估结果和与安全性相关的结果也很理想。因此,结果表明服用Refluthin后能明显快速且持久地缓解症状,且使用安全简便。随着时间推移,烧心事件的频率和强度显著降低,表明治疗有持续效果。这些长期效果可能是由于Refluthin对受刺激的粘膜有舒缓和保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d0/12059117/892b416e4112/41598_2025_98558_Fig1_HTML.jpg

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