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去甘草酸甘草治疗胃溃疡的双盲试验。

Double-blind trial of deglycyrrhizinated liquorice in gastric ulcer.

作者信息

Engqvist A, von Feilitzen F, Pyk E, Reichard H

出版信息

Gut. 1973 Sep;14(9):711-5. doi: 10.1136/gut.14.9.711.

Abstract

In order to investigate further the reported beneficial effect of deglycyrrhizinated liquorice in gastric ulcer, a trial with a double-blind, cross-over design was performed. The patients were treated during two consecutive periods of four weeks each with either liquorice extract during the first period and placebo during the second or placebo during the first period and liquorice during the second. Only patients with chronic ulcer disease were accepted for the trial. The dosage of the liquorice extract was 760 mg three times daily. During the first period 38 patients with 47 ulcers in the ventricle and during the second period 30 patients with 36 ulcers took part in the trial. The patients' sex, age, site of the ulcer in the ventricle, and ulcer size in the groups treated with liquorice and placebo during periods I and II were similar. Nor could any difference be shown between the groups treated with liquorice and placebo with respect to heredity, duration of ulcer disease, alcohol consumption, smoking, or the use of drugs. There was no tendency to quicker healing in either group as regards change of ulcer area or complete healing. Small ulcers healed more quickly than big ones. Ulcers at the angulus healed very poorly. No side effects of treatment were observed.Our study was not able to demonstrate any healing effect of the liquorice extract (Caved-S) on gastric ulcer.

摘要

为了进一步研究去甘草酸甘草在胃溃疡方面所报道的有益效果,进行了一项双盲交叉设计试验。患者连续接受两个为期四周的治疗阶段,第一阶段用甘草提取物治疗,第二阶段用安慰剂;或者第一阶段用安慰剂,第二阶段用甘草。只有患有慢性溃疡病的患者被纳入该试验。甘草提取物的剂量为每日三次,每次760毫克。第一阶段有38名患有47个胃窦溃疡的患者,第二阶段有30名患有36个溃疡的患者参与了试验。在第一阶段和第二阶段接受甘草和安慰剂治疗的两组患者在性别、年龄、胃窦溃疡部位以及溃疡大小方面相似。在遗传、溃疡病病程、饮酒、吸烟或药物使用方面,接受甘草和安慰剂治疗的两组之间也未显示出任何差异。在溃疡面积变化或完全愈合方面,两组均没有更快愈合的趋势。小溃疡比大溃疡愈合得更快。胃角处的溃疡愈合很差。未观察到治疗的副作用。我们的研究未能证明甘草提取物(Caved - S)对胃溃疡有任何愈合作用。

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